HomeMy WebLinkAboutBuilding Permit�
�11 APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Building Permit Application
Dia "ning and Development Services
2300 �v�u�Fo�p��c834y82�J� [��[�O18��8\ Residential
*�
�Bull , ding and Code Regulation Division
462-155� Fnx'(?72)4��'
p~�,-
��
�ITTYPE:
^
Site: Plan Name:
checkaditho�up�Y�
this o
Additional undert permit -cnwcx*"""~`~'p',
as � T�m� �a�P�pm8 Shutters
� Mechanical __ __
^ Plumbing 5prinWers --Generator
Electric __
Sg.Ft�ofFirst Floor:
q.
___
o+Cnna,rw;t,on�
�t of Construction, $ Sewer Septic
co.sUd|��s
zip Code: Fax:
Fill in fee simple Title Holder on next page if different
orn the owner listed above)
Company -.Mg 4
Phone No —7-7
State or County License
required��k ornmencement is required.
If.value Gf construrtion is $2500 or more, a RECORDED Notice of Commencement is if vajue of HVAC is ��7,500 or more, a RECORDED Notice of C
^
..
'
*^VVindn��/�ovrs
-_- '
Rony ____-PFtch
Building Height: __
as -
DE I'G'NER/ENGINEER: — Not Applicable
MORTGAGE, COMPANY: Not Applicable,
Name,
Name:
Address:
Address: _
Clty; 'Y' State:
City: State. _
Zip;', _._.__...__.. Phone.._w _.
Zip: _.. — - — Phone:
FEE"SIMPLE TITLE HOLDER: ---. Not Applicable
BONDING COMPANY: Not Applicat.)ie
Nate:
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 ir,,dicated.
I certify fiiat no work or installation has commenced prior to the issuance of a permit.
t. rude i"o�oty rrrak� s no ,rt?4)resentation that is granting a permit Wiii auihoL• Z( the permit holder to build the subject structure
is ;n with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
Mich conflict
#ructi ire Pleas, consult ith your Home Owners Association and review your deed for any restrictions which may apply...
n consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
n accb'dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
i
he fallowing building permit applications are exempt from undergoing a full concurrency review: room additions,
rooms and accessory uses to another rron-residential use
ccc�ssrir . struct.ure•s, sw'.rnrning pools, fences, walls, signs, screen
`WA! Ni#NG TO OWNER: YOUR FAILURE TO RECORD A NOTICE Of COMMENCEMENT MAY RESULT IN YOUR k'AVING
l W1 �E FOR LM R4A�'1E EwENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
YOU IINTEND TO OBTAIN FINANCING,, C�irNSULT
O'p6-'ED ON THE JOB SITE BEFORIE THE FIRST WSPECTIOA'. IF
OR AN A'rFORNEY BEFORE RECORDING YOUR NOTICE Of COMMENCEMENT_"
i
WITH YO;uR i.OQUER
l
ii
i
Sig ' — -
Sigrj'sture of Owner/ Lessee/Contractor as Agent for Owner Signare of Contract r/L.icense Holder ;
I!
l
i � i � Y Ir .iF irLC%f aV�..�:� STAT OF FLOW
COI .
!
TI"}tr;; c7r Olr'. il-.yti'i.r€i icri; was a6Ci OW;e0eed 'iefore me 11ii-: i0!' mn iristru ent was acknowledged before me,
�ay of �1 2t) by i
this day of —._ 20 by this
akin
NariSe of person rralcing statement_ Nme ofp erson mg statement.
i
Per4bnu!I' OR Produced Identification Personally Known OR Produced Identification
I i'ype of tdentlficatlon
Pret'ur_r:2d Produced._.._..
l
h
i s
(S .attire of Notary Public State of Florida ; {Signa :ire of Notar u ic- S ate of Florida )
(seal) I Commission Noa,
Commission No. _ ) # o Not ry Pu lic State oY Florida
l
j ? Ashley M Antonelli
�i
'�nFno4 Expwes 1011812021 I-z-p°—�
REVIEWS FROM ZONING SUPERVISOR l PLANS VEGETATION R
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW E j
DA'`E
DATE
l