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Home My WebLink Aboutbuilding permitAll APPLICABLE INFO MUST BE CuMPLETED FOR APPLICATION TO BE ACCEP i eD Date: Permit Number: 010' © <16 ry 5 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 I PERMIT TYPE: e,A)C, Address: O 0 0;1 C/ i 7 >iL�S CA.-y 1✓ Property Tax ID #: ) ./3©("- [p Q 0 13 t r Lot No.-3 Site Plan Name: T/I ©rYl �✓r �CA S %�i Block No. 175 Project Name: �r✓sfs// 3d� `eat 9Y i 4,4-;v AtNK I -.- fCS S rrAfi`d� �,3 dfFCafre✓ 4 t 0'1- ®d 6�Aee xw'-i-Ai irs ' � bynt �, �9C6� �i `.�� 'd � (��+ b� ` ,✓,c�S.`De� T� �a+eJ'K cir' 2".a/ E'.rsf t.�e'F� �'�� 1,�� Additional work to be performed under this permit -check all that apply: _Mechanical Gas Tank _Gas Piping _Shutters Windows/Doors _ Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: ^ o � Cost of Construction: $ oC 8U % Utilities: -Sewer _Septic Building Height: Name t Name: ✓�G.O >`f' %�� t��S Address: goo. ( Company: !% Tr✓�% ! llt ��ti City: State: LL Address: 7qo e>VJ )4i r'O S o 6 ✓ Zip Code: /�� Fax: 7 City: Pt) y- S 17 � � Cam/ `e State: , 6 Phone No. !%5--LL J'L 062 Zip Code: 3 � Fax: 77-7Y72:::24A0 E-Mail: Phone No 77--2-3 fJ 04S� Fill in fee simple Title Holder on next page ( if different E-Mail} 2f from the Owner listed above) State or County License If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. i DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Applicable Name: _Not Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that nowork or installation has commenced prior to the issuance of a permit. the structure the pcovenants which is inoconflimawith any applicable lHo a Owners Asssociatl nl rulesabylaws or andorize that malyd restrict olrprohibits 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 YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND. TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/ Lessee/Contractor as.Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA jj-.' COUNTYOF SP� STATE OF FLORIDA,5L %_ . � COUNTY /l IiLC/ OF The fo oing instr n as acknowledg d before me this dav The f r ing instrume was ackn owledg—bef�oreme of 20 by this day of / r Kr i:��•.,, BELINDADARDEN •�p�p'••, BELINDA DARbEN €.^'4• �; Nolery Public- Stab of Florida Name of persorf ma in Commission;e! GD 169025 ° `9 My Comm. Expires Dec 18, 2621 169625 Name of person making st @I - ' My Comm Expires ec It ZUZI i.0'. �UP.+'� rt!;:�` 9nnded Inmugh Na�unel Ne6+ryAsan. Personally Known I ao ep n ai ei ma nesn. PersonallyKnown C� dents ication Type of Identification --- Type of Identification , Produced - - Produced WJ ,. /—y (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.