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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCENTED r Date: Permit Number: 0706 /r1 — d 7 6 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 PERMIT APPLICATION FOR: Address: Legal De Property Tax ID fl: Y- ' ad / ' v0 O Site Plan Name: x? J41�fy Project Name: Setbacks Front• Back: a Right Side: Left Side: JAUmnundi worrc Lo Ue penorrnea unuer i.nis pennu—uiecrc do uidL apply: _Mechanical _Gas Tank _Gas Piping _Shutters Electric `Alumbing _Sprinklers _Generator Total Sq. Ft of Construction: Cost of Construction: $ Sq. Ft. of First Floor: Utilities: _Sewer _Septic Lot No._ Block No. Windows/Doors Roof Building Height: F _ is.. p._ ..� — M0 ' I' ! ,� • I 4 i3 n I d�-+ f7i11 [Y.jyt rc..• lS�� iSti!i ., � d�s��l ai. hr'� 9. 4.i' use:, x- 1� .. r I CityD*i % Phone No �7., Mfrom Fill in fee simple Title Holder on next page( if different the Owner listed above) 1111:11II &11FIi7r47&K07 II If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. © a � 0 � i 4 "' • I�Lf�, I�rlY��i.����n J� fH4rf± I'CFr'! .4 �L. Il u'TF Si� ilk Jj ' .'S 4^Y. � G I-" IT ,e Il.�� - ]����0 .IJ7CI7 .aL4_.!g If Tr. i ,�d D L � 'J.rL'v r Lis• �t r1IJP�L.I�i���Slrt U` Y.i1 L�� �.GJuy.Jl"- .�..�. State: y ,Cit • G/, ri • FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: —Not Applicable Name: Name: Address: Address: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as Indicated. I certify that no work or installation has commenced prior to the Issuance of a permit. no :e the permit holder to build the subject sttructure or and covenants that may reS rlct or prohlbit such deed for any restrictions which may apply. Inconsideration 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 Commencement may result in your paying twice for improvements joo your property. A Notice of Commencement must be recorded and posted on the jobsite before the firstfinspection. If you intend to obtain financing, consult with lender or an attorney before rnmmonrina whhrk nr rernrdine vnur Notice of Commencement. Signa re of Contract r/License Holder Lessee/Contractor !ignature of y gent/ STATE OF FLOR STATE OF FLORID/� � i COUNTY OF �- /U_G COUNTYOF V/ The f r j1�ig instr t was acknowledged before me this 'fay of 20%by The forgoing inst um t wa acknowledge before me this xday of 2Q� by 6Y4 William o✓ r q ,✓ (Name of person acknowledging) (Na e o rson acknowlecl) (Sign a of Nota bIi State of Florida)( gn ture of No ry Public- ate of Florida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification ` bv'Id�„ Rebecca DI Type of Identification Produced =e °'"" 'Bi•�s' COrnTniSSion # GG E�p�uced gtiw •,• oalb SHERRJ FEHLMAN =* Expires: January Commission.No.CAP�8%f!O aQ P =.s•. kk cn n#GG187160 G Isslon No. a Yt r a i� {p f ,,� ntplreslNarchla,ao22 _.:,� ., f.....& I Bonded thru Aaron . mOF nln• ''t'Ifor F! Bondod nw BAal Wary8W= REVIEWS FRONT ZONING SUPERVISOR PLANS • VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.7/2014