HomeMy WebLinkAboutBuilding permit appAIIAPPUCABL INFO MUST BEOCOMPL ED FOR APPLICATION TO BE ACCEPTED
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia
Phone
4111
0(772)
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Building Permit Application
Avenue, fort Pierce FL 34982
i 4624w1553 Fax: (772) 462=1578
Commercial
Residentia
PERMIT APPLICATION FOR '0iz;4' \je 40 3nk
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Site Plan Name:
Project Name!.,
Block No.
40
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Additional work to be performed under this permit — check all that apply:
Mechanical
Electric
Gas Tank
_Plumbing
Total Sq. Ft of Construct
.8
Cost of Construction
0 $
ion:
_Gas Peiping
Sprinklers
_Shutters W'Indows/Doors _Pond
0 op Sq. Ft.
utoletoes0
Generator Roof Pitch
of First Floor -
Sewer _Septic Building Height:
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Opp
Na e k 6 L Name:10
qm4M Co p a n y: 49b SnI - . r% -a Ja #%LAM
# I RINI V -A/
Address10500
%'z VL CA St a t C '1P t Y
e Add ress
Z'IP Code: 2,. F a xo.- C*Ityqo, 1P State a.
Phone No. 2w ZI Code,: Ci- FaxQ
a e W M Phone
W 14 -
-Ida
Feill'i'n fee S'1' Toltle un nee iEmMaoll different a
from the Owner State or County License
if value of construcflon is 2500 or ore, a RECORDED Notice of Commencementis required.
If value of HAVC'I's 7,500 or more, a RECORDED Not*fce of
IM4 11
4
OWNER/ CONTRACT
certify that no work or i
AFF1
IT: APPIcatlion is hereby made to obtain a permit to do the work and installation as indicated. 4
4P
enced prior to the issuance of a permiLs
St., Lucie County makes no representation that is granting a permlt will authorize the permit holder to build estrictborC roh bit such
Whichi'sin conflicconsult vVitnpp0 iHome Ow�ers Association andrreview your deed for anyrestrict ons which may apply.
structure. Pleaseyour p erform the work
In consideration of the granting of this requested permit, I do hereby agree that I will, in all res ects, to
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 addet'pons,
accessory structures, swimming pools, fences, walls,, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure toa Notice of romme�ntemest hc nt ay
resuit in paying
the publ C rtcords Uf St
nstallation has co
improvements to yoAL
ur
Lucie County and poste
with lender or an attpq
proper
on the jobsite 1Ce Ut before the first inspection. If you intend to obtain financing,*
rev before commencing work omen"It.r recording your Notice of CommenCeIF
-W M -
S*ignature of Owner/ lessee/Contractor as Agent
for
U)os/
Owner
ignature of Contrac
r/L'i'cense Molder
STATE OF FLORIDA_ STATE OF FLORIDA
COUNTY OF Tor
COUNTY OFMMMM�
Swo to (or affirmed) and subscribed before me of
hysPresence or OnIineNotarizato
n
this IZ day of MdEMPED � 2020 by
ti
Name of per, on making staOR
tement. /
Produced Identification
Personally Known V
MMMMMMMM�
Type of identificatelory.. �l /
Produced
SVIn to (or affirmed) and subscribed before me of
Physical Presence or.Online Notarization
this j,�,day of - 2020 by
Name of person making statement.
Personally Known OR Produced Identification
't
Type of Identificat'ton t;�
Produced
sognatur ry Pu11C-W4� p (Signature o jjjjlffiw��
a
C ILO JACOME IIIIIIIIIIIIIIIIIIII,lmo�
Nota11���ic, State of Florida Commission
COMM'1'ssion No. • g Co mis one GG 958652
4 My mm. expires Feb. 25, 2024
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
ev. 2U
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
0
consult
�AMILO JACOME
'��t • N0tB1 tilte Of FloddB
4 Commission# GG 958M
0 OW A- 01WAP O&A^
0 a LM
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
RE
VIEW