HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: �2Jr'�.9 Permit Number: IQ la— v((� ole
a i n
IN
Building Permit Application
Planning and Development 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:
PropertyTaxlD#p:_Iold Ul—v(JIly Lot N
000^1 'I
Site Plan Name: lv i � i l n 1p o: '�I�
M I fL ^ n p I I Block No.
Project Name: I' 1.
Additional work to be performed under this permit — check all that apply: g#' J C l l C n I t10 m
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _plumbing _Sprinklers _ Generator _ Roof _ Pitch
Total Sq. Ft of constructi 1onnq: Sq. Ft. of First Floor:
Q
Cost of Construction: $ _ I i 1 0 0 Utilities: _ Sewer _ Septic Buildlna_ HeiPhr-
OWN€R/LESSEE _ °� < <�: 4r ;= r
f
CONTRACTOR `" 1
_
.0
Name ,y
., _
Name Q
I .
Addresss�: -_y
f
Company:
(�
City: _
�ll 1. � r('� � cr r.-
'
Address:
n � r•
Zip Code Fax:
City: 61111111
Ill n
State:
Phone'No a7y'(7
Q�
ZipCode:q S (�
Phone No iOW
E Mail CQO�� l a (
Fax:_
(1
EMal:��rO�if �PYI�a)7 11('t
HILin fee simple Title Holder on next Page (if different
from the Owner listed above)
.
State or County Lice sel (C
i daq 35 U
value of construction
ion Is $2500 or more, a RECORDED Notice of Commencement is required.
If value of IIVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
u 1—mftppk1 V [.11 l l(l Name•. ------ — ,, Fjj::,.aU:C
Addressi,� Q t i
City: Address:
St te: City: St Zip: - - C ,.Phone ate:
, Zip:_ Phone:
FEE
Name:_ , Q A i
Address.
City:
Zip: Phone:
BONDING COMPANY: t Applicable
Name:
Address:
ZIP: Phone:
�• •• �'r � Wlv I r-MLA UK AI.1.IUVIT: Application Is hereby made to obtain a permit to do the work and installation as indicated.
I certify that nttoo work or installation has commenced prior to the issuance of a permit.
which iS noconflict with any applicable lHome Owners Assoc,ationl hi esauthorize
bylaws or and covenants that mays estr restrict subject
pr hibit 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 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,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMM
TWICE FOR IMPROENCEMENT MAY RESULT IN YOUR PAYING
Y ENiS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND,
POSTED ON THE OR AN ATTORNEY B ITE BEFORE THE Fill
13Dria Ssrnenn .,Y�V INTEND TO O
WITH Y L
BTAIN FINANCING, CONSULT
-_ •-•-� �•r��=�r�=,uviLon,.rEctor as)Vtnt4r Owner Sigriatureof ontracto/License older
STATE OF FLGR1BA FLORIDA,COUNTY OF_ !//ySTATE OF FLORIQ
ZJ COUNTY OF/dEr'L�1J�Q� Q
The fo �ginet instru ent was acknowledged before me The forgoing instrumgn�was a,Fknowiedged before me
thisLy'-d`ayof�26 by this�dayof /�/b'r/ 20f9by
Name of persanniaking statement. Name of person making sta fnent.
Personally' K510w61 OR Produced Identification _^----
oi IdentLficatio
ice d—l-%nL.97d4'02/1/M'C L/Ge�JCe
NOTARY g4Sl !S STATE OF MARYLAND
Commiss EkPimsFebruary24,2o2o
Commission No.� Ua/4(Seal)
Known OR Produced Identification
REVIEWS I FRONT COUNTER I REEVI ING W SUPERVISO
R I RPLANS EVIEW I VEGETATION
EV WON
SHERI L. COOK
June 22, 2020
SEA TURTLE I MANGROVE
REVIEW REVIEW