HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE`INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 u
Date: all 1 �1 Permit Number:
RECEI D FEB 0 7
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)462-1579 Commercial Residential.
PERMIT APPLICATION FOR: Pool inground
P'R;OPOSED IIVIrPRfOVEMENT LOCATION -
Address: 3 9 0 3 / t/G-
Legal Description: Lo 1 7 T/fA Do ry -964TS
Property Tax ID#: ///2—3 — 5-C 6 — D� /D — d zw- Lot No.�_
Site Plan Name: ir3e Z p6 V FLATS Block No.
Project Name:
Sejbacks Front Back: Z4
0Right Side: ��'�' Left Side: _
'Pon i
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DETAILED D,ESCRIPTION�OF WO,R '` �j"�
(Pkocn i x
4
itioiia wor to e�ej orme un ert is permit—c eck all.. apply:
In�HVAC L—I Gas Tank Gas Pi in _Shutters Windows
��— ❑ p g ❑ Doors/
_Electric umbing Sprinklers 1:1 Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ S i Utilities:0Sewer D Septic Building Height:
Name 5ff7-# tf 1y-;;A _ 13114-k4—n, Name:
Address:_ y /30 k �3 7 0 y Company: £
City: YLrYZO /.3 State:�7'/ Address:
Zip Code: .32�iG r{ Fax: eV City: 1'1PQ1� .Stater.
Phone No. ?Z— 9/ 3 — 0 2—O 2— Zip Code: _3'�i�'ni O P Fax:77,9.4&7•l(P.94
E-Mail:_D2/'7 6R-9" P ACLt_.SobtN• a!�fZ: Phone No. 77, s • p79• 775a
Fill in fee simple Title Holder on next page(if different E-Mail: P!Ur_ o_r) Q .Ovm
from the Owner listed above) State or County License:0— 14V
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
�� RECE1',�D FFBI 07 7017
SUPPLEMENTAL CONSTRUCTION I.LEN LAIN INFORMATION
:
DESIGNEER"/EN VEER: - _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: l Y�e,1 VWA^ 0
Name:
re Add s: IWO Address:
City: State: [:;C City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not 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.
'i
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing r recording our Notice of Commencement.
_ l/Signature of Owner/Lessee/Agent Si ur cto License o der
STATE OF FLORID STATE OF FLORIDA QQ
COUNTY OF �� i COUNTY OF 19+.
The r ing in ent as a cn dge efore me The fo i iinstr nt�was acknowledge efore me
this day of 20 � this day'of 20by
Y
orui-d
( m of person ac nowledging) ( of perso ack owledging)
ign ure Notary Public- a of Florida) nff&ree Notary Public-State of Florida)
Personally Known OR P ucedtlycViqflCCHEE_ Personally Known�OR P Id M�i'c6i!(dTl•14ICGHEE
Type of Identification Produc Type of Identification Produce NOTARY PLISUC
ST�OF FLORIDA STATE OF FLORIDA
Commission No. ii N
FF241935 Commission o. o (ser JWFF2419M
Expires 8/10/2019 Expires 6/10/2019
Revised 07/15/2014
REVIEWS FRONT 1ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER 'REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE �1
INITIALS � j
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