Loading...
HomeMy WebLinkAboutBuilding Permit Application (2) All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: .. Permit Number: rrc�4 a 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 ✓ PERM IT APPLICATION FOR: PR�©POSED INPROVEMENT LOCATION: Address: 1325 ge nrtt++ ?- Fc?r� pit c C�, �i. 3ggq rl Legal Description: -IDA&A e 91AeA Rome. 9 SO M:hii t Property Tax ID#: 23137 W --0009 - O00 - I Lot No. Site Plan Name: Block.No.• Project Name: Setbacks Front Back: Right Side: Left Side: DE AILED DE�SC«RIPTION ©F WOR+K: adding S�Mmy, Shed , She.d si4-s on coincrei- bioct:-s on dirA- CONSTRUCT40N INFORMATI©N: A'Mffional work to be pe orme un-der t is permit-c ec a t at app y: _Mechanical _Gas Tank Gas Piping _Shutters _Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: q2-0 Sq. Ft. of First'Floor: , Cost of Construction:$ 2,Lk Utilities: _Sew,er -Septic 'Building Height: OWNER/LE�M&EE: CONTRACTOR• Name QQVid 00rnf01`5 Name: Address: 1325 Belk n ti-} iZaQ Company: City: For+ tm_.rLk./ State: 'Ft- Address: Zip Code: Fax: City: State: Phone No. ?`72-5`7C1-(0y(p3 Zip Code: Fax: E-Mail: Ct, t one No Fill in fee simple Title Holder on next page(if diffe -Mail from the Owner listed above)' Sta or County License If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. SfiUPFLEMENTAL CO�N:STRU� ION LIE ' LAW INFORMATION: 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: 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 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. (7d Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA `�� STATE OF FLORIDA COUNTY OF `C� , ���� COUNTY OF The for instru ent was a knowledge before me The forgoing instrument was acknowledged before me this ay of , 201�lby this day of 20_ by C�n CS (Name of person acknowledging) (Name of person acknowledging) Qn(\ . (Signature of Nota U111111b'c- t e of Florida (Signature of Notary Public-State of Florida) ..➢ y "FYA NaPyrPE� 6F'tFtk64�' Personally Known OR Produced Identification Personally KnI- Y Type of Identifib i Co mis ion#FF 234730 Type of Identification YP Produced a '9. a °` Co ' . May 278 2019 Produced BondLd through National Notary Assn. Commission No" " `TSeal)f Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.