HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 ����1 Permit Number: �.1a3-od��
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RECEI V D i4AP 0 3 20?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)462-1578 Commercial Residential y1
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 5 o�o,�
P �PQ:SED IMQR `VEMENT OCATIGON.: R.
Address: 14I502 Vo-Aeo Pcnes acckz. Ft Pie_rca., 6- 1
Legal Description: No1:c>a1. P;n�s S�Ia-Pl�aseTS-�T S�I�t� � 13�13I.��t'_o�_ Ig28�2�i3)
Property Tax ID#: 1313-50-- 0121-000`9 Lot No. 644
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
RM2 K D D.ES RI' 41'I0
r
Additional wor.k to be nerrormed under t ispermit-c ec all apply:
E1HVAC 0 Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric Plumbing Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: �1 S Ft.of First Floor:
Cost of Construction.$ �PI J�� / Utilities:In Sewer O Septic Building Height:
a;1NNi R%-5�5E : . CONTRACT_ �R:
Name J—h (-r C—D0—r\ Name: Robert Zrallack
Address: �4502 Paaen P;rI '(�rcle_ Company: Solar Energy Systems
City: 'r t et"Ce_ State: Address: 160 Smallwood Avenue
Zip Code:3q q 5\ Fax: City: Fort Pierce State: FI
Phone No. 5`70-350-taq-11 Zip Code: 34982 Fax: 772-466-7937
E-Mail: Phone No. 772-464-2663
Fill in fee simple Title Holder on next page(if different E-Mail: vpsolarenergy@yahoo.com
from the Owner listed above) State or County License: CVC056637/9057
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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: _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.
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 work or recording our Notice of Commencement.
s
_Signature of Owner/ ee/Agent Signature of 6bntr icense older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 3-1t Luc ie COUNTY OF Sk L&xc�e_
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I64"''day of (—_e)r>rL o_c 2011—by this 1_I�day of Febrc�z�, 20 11 by
Robert Zrallck 1 Robert Zrallack
(Name of person acknowledging) (Name of person acknowledging)
/"///Jit, JGm�
(Signature of NotaryPublic-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known V// OR Produced I ficatu i�Personally Known��OR Produced Identific�i�Saiall Music
Type of Identification Produced��, CType of Identification Produced T
STATE OF FL RIDA ��I g 3-, STATE OF FLORID
Commission No. �)213"7 Comm#FF9121 commission No. Comm#FF912137
1� Expires 8/24/ 019 Expires 8/24I201
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS