HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building and Code Regulation Division
Permit
Number:
f:�',a.�uQr��u�ug G�'c�u•uU��ofi: F;.�r�G���ac�rr
2300 Virginia Avenue, Fort Pierce FL 34-982
Phone: (772) 462-1553 Fax: 772 462-1578
PERMIT A PPLICATION FOR:
Conirnercial
Residential
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Additional work to be performed
Mechanical
Electric
Gas Tank
_Plumbing
under this permit -check a
Gas Piping
_Sprinklers
ll that apply:
_Shutters � Windows/Doors Pond
Generator Roof Pist c h
Total Sq., Ft of Constru ion:
APIP .. of First Floor* , DI
Sq. Ft.
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Cost Construction. ixti ities: Sewer
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a '�tiI
N a eLL
J Name: rr te el
Address:
A Company -
city:
z-1P code: Fax:
Phone No.
State Ad d
E-Mail:
Fill in fee simple Title Holder on next page { if different
from the Owner listed above}
.........
f value of construction is 2500 or more, a RECORDED Notice of
1-f value of HAVCips $7,500 or more.? a RECORDED No
� city
: lm/�'J
ress:
�u /5'
Ir 7
Zip Code:
Phone 00
E-Mail .LTV
State or Coun y License
Commencemen
tice of Commencement is r
t is re
qu
squired.
fired.
Stater
Fax
., MFV%6 IK
.. � Mr �#��. �# fir. -,ti■ � � i � � ��'� � . . t. a w ����� lk
� � � i � � •�=� � �, �, i
op a Ar lop
DESIGNER/ENGINEER:
Name:
Address
_Not Applicable
MORTGAGE COMPANY:low.
t
_,Not App
licable
Name: i
• Address: _
City: ,% State: City: State:
Zip: Phone Zip: _----- Phone..
FEE SIMPLE TITLE HOLDER: Not Applicable 13ONDING COMPANY: Not applicable
Name: � Name.. -----Z
Address: Address:
City: i City: _
Zip: Phone.... Zip: ('hone:
OWNER/ CONTRACTOR AFFIDVIT','Application is hereby made to obtain a permit to do the work and
I certify that no work or" -installation has commenced prior to the issuance of a permit.
St, Lucie County_makes no representation that is granting a permit wil
on as indicated.
l authorize the permit holder to build the subject structure
which is in con
tlict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
your Home Owners Association and review your deed for any restrictions which may apply_
in consideration or the granting of this reque
in. accordance with the a
structure. Please consult with
sted permit, I do hereby
pproved plans, the'Florolda Building Codes a
The following building permit
agree that I will, in all respects, perform the work
JI.St. Lucie County Amendments.
applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, tenses. walls.
.
signsscreen
WARNING TO OWNER: Your failure t�
improvements to your property.
o Record a Notice o
rooms and accessory uses to another non-residential use
'Commencement may result in, paying twice for
A�Notice of Commencement must be recorded in the public records of S
Lucie County and posted on the jobsite before
with lender or an attorney before commencing
t...
the first inspect
ion. If you intend to obtain financing, consult
work or recording your Notice of Commencement.
Signature of Cmvr�e-r/ Lessee/Contractor as Agent for Owner
.STATE OF FLORID!�
COUNTY OF (C
Ilk,
7P-) Ve
Sworr� to (or affirmed) and subscribed before me of
P ysical PreLpnceF or Online Notarization
thisI day of�j�rmm)q Vze 202-L-) by
IV,
k -")n
Name of person making statement.
Personally Known OR Produced Identification
Type -of Identification_
%%, -'q
Rrbduc dIP
t
rim
ignat6re o No'ta-.'. -05t M, Ell IIER
a
*.
d.
:* •* '� } Comm"ssion (S
r
Commmission No. 4FE fires Febru#4Q022
S
#+ a I k Bonded Nu Troyinaurane
IL
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
signature of Contractor/License Holder .
STATE OF FLORIDA ,-
COUNTY OF�_ ���� ��1 ✓�..�
Swo to or affirmed) and subscribed before me of
V Physical Pres ce or Online Notarization
this day of ,�Ylk�c�, 207o by�
or �u rpo�n Ck'-'t',ec v�
Name'of peeson making statement.
Personally Known loe' OR Produced Identification
Typj�° Identification
M 0
k
4argnature I
64Air +� t*
C 7�j
4P
WA No
rr
Commiss'lon # GG 1 472
Cori r � i r� N �r � �: Fynirns
Fe
.�
% Y
*iI� once Boo-0-1.
-Jf,41 - -" - r.
■
PLANS VEGETATIONt SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVS EW