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Addr
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City
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Phone
E-lVail
AIIAPPLICABTE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Planning and Development Services
Building ond Code Regulation Division
2jOO Virginia Avenue, Fort Pierce FL i4982
Phone; 17721 462-1,553 Fax: 1772\ 462-1.578
Building Permit Application
Commercial Residential
Address:
Property
Site Plan
Project N
Tax lD #r
Name
ame:
a
New Electrical Meter
L
Second Electrical Meter
*CL t=Lot
Block No
&
PERM IT APPLICATION FOR:
CONSTRUCTI ON I N FORMATION :
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas piping _ Shutters
{hectric _ Plumbing _ 5prinklers _ Generator
Total Sq. Ft of Construction Sq. Ft. of First Floor
Cost of Construction: 5 Utilities: _ Sewer _ Septic Building Height:
_ Windows/Doors
Roof
Pond
Pitch
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required
lf value of HAVC is 57,500 or more, a RECORDED Notice of Commencement is required
Permit Number:
V"
PROPOSE D I M PROVEM ENT
208469
04r1 u2022
Pubtic State of
as Agent for Owner
)
(Seal )
of
Signature
Commission No.
Type of ldentificati,
Personally Known
COUNTY OF
STATE OF F
Name of making statement.
se Holder
statement.
of
Exprres 0/it1il2022
Name of
Public- State of Florida )
(5ealiCommission No.
COUNTY OF
STATE
Personally xno*n K
Type of ldentification
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
D
DESTGNER/ENGtNEER:
Name:
_ Not Applicable
Address
City:
zip:
State:
Phone
MORTGAGE COMPANY: _ Not Applicable
State:
Phone:zip
City:
Address:
Name
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Phone:7ip
Name
Address
_Not Applicable
Nam p:
Zip: _
BONDING COMPANY:
Address;
owNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtai
I certify that no work or installation has commenced prior to the issuance of a
n a permit to do the work and instailation as indicated.
permit.
5t- Lucie County makes no repre.sentation tha!is granting a permit will authorize the permit holder to build the subiect structurewnlcn ls ln contllct wltn any.appllcable Home Owners Association rules, bylaws or and covenants that may restrict <jr prohibit suchstructure. Please consult with your Home owners Associat'Lon and ievi6w'votii<ieet ioi-an"y r"riiiiiirjririJt iif,'i.r'v"ailpi'v.'"''
ln consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workin 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
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
WARNING