HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED
FOR APPLICATION TO BE ACCEPTED
Dates
Permit Nu mber:
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Building Permit l r t r n
Pfann ing ons' 0e vel ent Services
Building and Code Regulation Division
2300 Virginia Avenue., Fort Pierce FL 34982
Phone: (772) 462-1553 Fax.- (772) 462-1578
Commercial Residential
PERMIT TYPE:
Address: raba
)
,
Property Tax ID : 43
00 0 "" Lot N o .
Site Plan Name:
Block No.
Project Name:
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TA LEDDESCRIPTION OF WORK.
i Tfin
.IUK
Additional work to be performed under this
permit — check all that apply:
-Mechanical Gas Tarek
Gas Piping� shutters Windows/Door
Electric Plumbing
_— prinkiers Generator Roof Pitch
Total Sq. Ft of Construction.,
q� Ft. of First Floor:
Cost of Construction: Utilities: eSeptic Building Height:
V E SEE
�- .. NTS T
_ _ _ _
.y.:,. ,._ ..... µ.
_ -
Name &e a(
Name:
Address.
ornpan1%er' .0 a 1;�
City:L44aiLoState.
Fl. Address. !Yt)7
Zip Code. Fair
!pity: State.. _Ae�
dom
plrtie No. 15
dip: Fax:
E -Mail:
Phone No
Fill in fee simple Title Holder on next page
if different E -Mail 0/ 1 �7~ J749 elm 4vl/l en
from the Ow ne r I fisted a bo )
State o r o u my License c e
If value of construction is $2500 or more,, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED
Notice of Commencement is required.
'PLEMEN'TAL CONSTRUCTION.
a.
iE
DESIG I E, ENG WEER*
Name:
Address:
City:
ZIP{
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
zip- Phone:—
MORTGAGE
n :—
Not Applicable
State:
Not Applicable
MOT E OMP : Not Applicable
Name:
Address:
City: State
zip: hone:
BONDINGCOMPANY: Not Applicable
Name
Address:
Cit: I
Zip: Phone:
OWNER/ CONTRACTOR AFFID'VIT: application is hereby rade to obtain a permit to do the work and instillation as indicated,
certify that no work or installation has commenced prior to the issuance of a perrnit.
St, Lucie Countv makes no representation s that is granting a permit wil l authorize the permit holder to buil# the subject structure
which is I n con�fkict with n � licab le Ho Owners ssction ruIes, byla s or a n covenants that mai re tri�ct 0r prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved pleas, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications erre exempt from undergoing a full concurrency review: room additions,
accessory structures, sr irnm1 ng pools, fences, Ovalis, signs, screen rooms and accessory uses to another non-residential use
"'WARNING TO OWNER: YOUR FAILURE TO, RECORD A NOTICE OF COMMENCEMENT MAY RE tJLT IN YOURPAYING
T'R'ICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE T14E FIRST INSPECTION. IF YOU INTEND TO OBTAIN FIN NCIN 3 CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. '�
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature ofContractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY TY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of by this day of r 20 by
Name of person mat ing statement, Name of person making statement.
Personally Known OR Produiceci Identification P e rson a I IV Known � 0 P Prod uced Identificati€ n
Type of Identification Type of Identification
Produced Produced
r
(Signature of Notary Public- Mate of Florida (signature of Notary Public- Mate of Florida
Commission Io_ (Seal) Commission No. (Seal)
REVIEWS I€ FRONT ZONING SUPERVISOR PLANS VEGETATION EA TURTLE MANGROVE
COUNTER REVIEW RE `1 EW REVIEW REVIEW ''' REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
277/19
UPPLEMENTAL CONSTRUCTION Ll W IN
DEI NER E GINEER Not Applicable
N a me:
Address
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: � Not Applicable
Name..
Address:
City:
Zip: Phone:
r
MORTGAGE COMPANY:
Naas:
Address:
City:
1P: 'Ph one:
BONDING COMPANY:
Name:
Address:
pity: --
ip. Phone:
Notpplicablr
State:
Not Applicable
OWNED/ CESNTRA T R A FFIDVIT: AppIication is hereby rade to ohtain a permit to coo the work an,d insta11ation as indicated•
certify that no work or installation Inas commenced prior to the issuance of a permit,
St. Lucie County rakes no representation that is granting a ,permit will authorize the permit holder to build the subject structure
h ich� is in contlict with anti applicable Home Owners Association rules. ko la s or and covenants that ma restr or prohibit such
structure. Please consult with your Home n rs Association and review our deed for any restrictions which may apply.
In consideration of the a granting of this requested permit, I do hereby agree that I will, in al I respects, perforin the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,,
a ccessory structu res, sw i mm i ng poo Is, f e n ces, wa I Is, sign s, scree n rc o rns a nd a rcesso ry uses to an other no n-resi de nti a l use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PA I I
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MENCEIMlENT MUST BE RECORDED AND
POSTED ON THE JOE SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
W YOUR LENDER OR AN ATT'ORNIEY BEFORE RECORDING YQ1WA(OT1Cjf OF COMMENCEMENT.�
'Sjg9tture ofOwner/ Lessee/Co A or as Agent for Owner signatWof Contractor/License Ho
STATE OF FLORIDi-U
F FLORID
COUNTY OF ��NT' OF 5-r IF
The going inst rent w'ar acknowledged before me The f ting instrument was cknowledged before me
v : this 3 day of 2 2P b
Name of person making statement_ Hare of person making statement.
Personally no n R Produced Identification P rsonal[y Known Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature 84 otary PuhJic- State of N,a gnature
JAIME O TIZ
�� Commission Q , Notary Public - State 0
{ Public at fFlorida�' CommissionGG 22$444
, m i � ." `0 y Corm Exolres Jun 13, 207
•
+., r
, ro ; o s .
e� ter u- 11='Nota ���r.
REVIEWS R 'I f PLANS lel 1 R L MANGROVE
COUNTER REVIEW REV] EW REVIEW REVIEW REVIEW r EV1E #
DATE
RECEIVED
DATE
COMPLFTED l
e.