HomeMy WebLinkAboutBuilding permit app ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number I' d UQ C
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 r
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
P _OPOSED i,iVIPRG�/E(VIENT LOCATION
R
Address: -_ 1h iAF_.- Q1E- h1iDEF, 61v6,
Legal Description: j_c 1 A CD ; i 7,
Property Tax ID#s `1 f (�G 2(s� (>I 1s; Lot No.
Site Plan Name: Block No. -7
Project Name:
Setbacks Front Back: Right Sider Left Side:
=DETAILED DESCRIPTION„OF,WORK.,
06c, COf�coe.`k- eGec(
CONSTRUCTION INFORMATIONw
Additionalwork-to be nertormed under this permit—check all tba apply:
11HVAC I_1 Gas Tank Gas Piping Shutters a Windows/Doors
FElectric ❑Plumbing Sprinklers FI Generator a Roof
Total Sq. Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 3`t S�- Utilities Sewer E]Septic Building Height:
OWN"NQSSEE CONTRACTOR
...
All America Pools Inc
Name`t r='��� { ��v..=,-F'.�,;z i7 Name: __
7.'L
t
Address: G V Company: a i11e Rd
�� �'. c2 I CA� t 7 R �. 554R Melville
F e' Florida 34982
Fort Pierc ,
City: pc�cz" hT Lyc.r E>. State: r i— Address: F
Zip Code:: y EJ,� Fax: '�nl-33y`- 7z) City: State:
Phone.No.`7 7a- 31-1 ti Zip Code: Fax:
&Mail.��;ze'; —L:5:.t C sZ a kkL, }r LDQ' N Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail: hnl_�Al , /� M r,f,I- ('o.to
from the Owner listed above) 'State or County License:
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
S[JPPLEMENTALCqNSTRUCTIN LIEIUgLAW INFORMATION,
a
i Y
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:. �ot Applicable
Name: Name:
Address: Address:
City: State; City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _rot Applicable.
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 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 twill,mall 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 your property. A Notice of Commencement must be reco ded and posted he jobsite
before the first inspection. If you intend to obtain financing,consult with ke�d r or a at or before:
,commencing work o.r recordin our Notice of Commencement.
�01
Signature of Owner/Agent/Less Lessedz Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLOR .I
COUNTY OFF ��;�� COUNTY OF
The forgoing instrument was acknowledge before me The IN
instrument was acknowledged before me
this it �-dayof r}CrT�; �tZ 20- by this (7 day of QcAb ki/ 2cW by
(Name of person'acknowledging,) (Name of person acknowledging)
(Signature of Notary Public-State of Florida (Signature of Notary Public-State of Florida
Personalty.Known�OR oduced Identifc "on Personally Known OR Pro d Identification
Type of Identifc t o • Type of Identification Produced �� .
Fpv vL. , Notary Pup+lc State. o
Commission N z° $`; D�anrtaKrifgh� fi Commission No.
Cori A.Desalva
'� ExP�res,g512t12:�21, pZAR
of F+o NOTARY PUBLIC,
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Revised 07/15/2014 Coming G01 3W49
sf _ Expires 10 20/202f:
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE.
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS