HomeMy WebLinkAboutBuilding Permit App (Robert Dunalp) updated gc 10.12.20ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Numbern&
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Building Permit Application
Planning and Development services
Building and Code Regulation Division
2300 Virginia A venue, Fort Pierce FL 34-982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PER IT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Property Tax ID #: C)w Lot No,
Site Plan Name: -Block No.
Project Name:- �M�_CCC) �L
Setbacks Front Bark: Right Side: Left Side:
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2 t: _3 ��;V MW
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'�Xdditi
al work to be performed under this permit - check all apply:
Moo AC �LGasTank []Gas Piping riShutters Windows/Doors
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uElectric Ew'� Plumbing oSprinklers El Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: blE 0311� Utilities: Sewer Septic Building Height:
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Name'. Pb�w� It, A
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Company: Jb A,,
A ddress.
city. State:
Cit State:
Zip Code. Fax:
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Zip Code, Fax:
Phone No. "2-
E-Mail:
Phone No.
Fi I I i n fee si rnp le Title Ho Ider on next page if d iffere nt
E-Mail.(C_>CR
State or County License: C&C_ O'S
from the Owner listed above)
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If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone: _
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone. _
Applicable
State:
of Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BOLDING COMPANY:
Name:
Address:
City:_
zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
Applicable
State:
of Applicable
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or 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 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 to our . A Notice of Commencement must be recorded and posted on the jobsite
before the f�ir�t inspection. If you end to obtain financing, consult wit# lender or an attorney before
commencing uarlFe�ecordin ou otce of Commencement.
5ignature'of
as Agent for Owner
Of
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY O-F
Jam....
The forgoing instrume t was acknowledged before me
this -\G-- day of 2�by
1
(name of person acknowledging)
ignature of Notary P-Staiebf Florida j
Personally Known OR Produced identification
Type of Identification Produced
Commission No.
NICOLE BRATTON
Commission # GG 215229
Revised47fI5120I4Ir F`tMy Commission Expires
!s'Q� May D7, 2022
REVIEWS FRONT
COUNTER
ZONING SUPERVISOR
REVIEW I REVIEW
Holder
The forgoing instrume t was acknowledgeoefore me
this � day of 20 �)J,) by
(Name of person acknowledging)
(Signature of Notary Pu611 - �fflor�ida)
Personally Known r" OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
_State of Florida -Notary Public
Commission # GG 215229
ooc PP` My Commission Expires
PLANS VEGETATION SEA TURTLE MANGRO
REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS