HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COED FOR APPLICATION TO BE
Date:
Permit Numb : 7C)/ Z''
�OO
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
PERMIT APPLICATION F•'
^' +.r" r °�;^'ter ..,r .. ,�F".'r x,.. ,^a^,.Y- �,._ �;y'^,.. r "4°—.a,.'� � .,3,�ym-ay °r �,. •a-�^--aa-siTa^`,�3`w^g:-�ser�r'�'-°=,�"r5a '�? a'R� ��e
!:��.. 4 �sy. � s .. r- r' ":��; '�1 `��*�' .a � s '�ii" �� `'yct �i� I�—��•�'�is� 4',; ,���'�s cx..rr�$ +,.s.:' E iyi��x"�� f ., � y �`Y«} k „}?"
Address: n�L� 21 O f�{�- ►2t to c�
Legal Description: 7S10Ir-C-5
Property Tax ID #:
iz�1 lll`s
Site Plan Name: Nkuk�: A`r �CS��c7rJCe✓
Project Name:
Setbacks Fronts Back: Right Side: .(Q 7 ° Left Side:
�- - S i G -.ter e�> S kAo N, C
Lot No. 6�
Block No. 3
/Mechanical _ Gas Tank _ Gas Piping _ Shutters ✓ Windows/Doors
v/ Electric Plumbing _ Sprinklers _ Generator Roof
Total Sq. Ft of Construction: 3� Q� � Sq. Ft. of First Floor: 3 k 01 -
Cost of Construction: $ 3 Q<30 Utilities: —Sewer i' Septic Building Height:
Name °�!'-�' � r.� j , � • �z.-ai�'E - -
.Addr.ess
City: ic>>zT 7I► State: -
Zip Code: Fax:
Phone No. 27Z- Z1 b- Z.(,)%
E-Mail: }=(=UI1J-r ____ M C .Red6aod, 1 )OCT.
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Company
Address: 6603 r06r__'t-1d04uti�tiOc t,- l-N
City: 'Foiz--L I?I "--ff Stater
Zip Code: 34q 8[ Fax: 7?Z-46G-634�-
Phone No.
E-Mai1: D4 a'34 :5c 7
State or County License: CgC/307-0(3
if value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
-'4n"_t ..�w34 +r*i, a:'H .�-'rF.. 1 C'•'id}';.,.::
t< �^,':1 f. 4z.�'tt`�1:1, ,{{�S.l e/,-tleG+,'
Iy f a T$ piy tWi
�. .,i„API �., t,AFd.'i,4,c e.��.�`Y Pi
t . s
'°_.�aaxx.' 4�.sss.[,., �.,e..�,^vu:lsi.n..a ,.a,.• s
r#'�.... -t (� µ K"�
ix'�� [K,i �, V"i. 1$ [�{}1E�`
1 69� A £
,,', r ra..kw5 .F�qi EtEpC.
_..ev ._,s-r.,,. ••
ai..Xcs«I,02+�.2hi°,.�a:.{.,,�x�wa,�,.
P•.'i#�9ilp [4 .Cg .i i(. '; \:�%V'ui1i is 1F f '1! 9AAi'
,,;�5�}}�r EYi4 T�a°'r''F:'R�If•,C`�"9 1N r,,. m c k14�,@rx[,d.
8�W.5see�` s�,.snCeY {,R,,:n�.nl� ��' ::i �5.��ssS�i�i,��'�.,.
w:'.
r c'#.' •,.y� f # �.
a�yjpRs "� '[{"':1A
7r.•4na_,X .i.,.�.e47
DESIGN ER/ENGINEER: • Applicable
Address:'- .♦
• Phone:r
MORTGAGE COMPANY:•
s
Address: 6 •
6
• Phone:o
Applicable
FEE SIM;rLE TITLE •
Name:
A • •
City:
• Phone:•
• Applicable
BONDING • a
Name:
• •
City-
Phone:
• Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify..that no work or installation has commenced prior to the issuance of a permit. .
St. Lucie Count 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 resultlin your paying twice for
improvements to your property. A Notice of Commencement must be recorded a Ind posted on the jobsite
before the first inspection. If you intend to obtain financing; consult with lender of an attorney before
rm.�
commencing work or recording vour Notice of Comencement7
natum of- wne Tt/ Les.�e� Signature o 6
STATE OF FLORI STATE OF Fl.
COUNTYOF COUNTY OF.
The forgoing inst AM
was acknowledged before me The forgoing instrument was
this day of���. 20Q-by this day oi!�p�
(Name of person acknowledging ). (Name of person
er
DO
edged before me
20�by
(Signature of Notary Pa1Wtc_-_�tate of Florida)
(Signature of Notary Public- Statejf Florida?
Personally Know�� OR Prods Ident&Wa
Type of Identification Produced 8°
(� * j March 20, 2022
Commission No. �J i�� a
Personally KnowWOW n OR Produced Identification
Type of Identific ion Produced 00
�'.•
\ I * Commission # GG 198133
Commission No. `�� �� al) EVi%March2e,2022'
'Fa�ti� �.d�e�o�►aay
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED