Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE CON.,,.1TE1D FOR APPLICATION TO BE ACCEPTEL- �o• 7.)0 Z110_ Date: i Y Permit Number: i 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 FOR: ToSelect from dropbox, click arrow at the end of line 9 PROPOSED 6 � IMPR01/EME_NT `'j '^& L LCI,CATI�bN? x t �_ x x Y.�, zz �, ..�� E x...�,. ..�� ,,11�� A� C S Address: 4 A 4f n M M r-v Rd Legal Description: 7 36 3 .+ _ �� � G\W .®� H� Sal I A €adn E Al S L% ®f See- 33 Property Tax ID #: 033 o134 6M,x 000 69 Lot Nc 635-3 Site Plan Name: Block No. - Project Name: Setbacks front Back: i Right Side: Left Side: ti " v., - f *' _�+t t�3'• ; ::tip DiETAIL fSC IPTION QE uUOI New C©� ��sfr� , ' c), 1 '•a },55 iii 3' `�"§'�ri 5`3 �' CpNSTRUCTIONxiINFORMATICtN r.p kg.,is�.�`r 8 'i'fi4 F f<Y . Y'{ 'b� 56 ,x,,`^''t 5 % 1 f7+ ,C,a ,.. ,?'i' ';. df Y i'2i' k dry _.1'py, �$�£ 'x '^4>(4 ?�: 'ri C i bx1 I} 4 B S '^i �,1' -� „, .r . 4 .. �A :1�Y5.ea �r �.._ 6 u$fi �'�; "i..., �� , a . �v e L3Lb., ,�k , k. Y.. � ,�..�,3 � 'S" , w. ;:k✓� � � � �ss�m 9 i .. 'T� 5 .S u� �W��'d .. }�, � � �� � .9 � '. Y4.'�`,z•, �un itionazwor to e neorme erlt is permit—c eck a l appy: ' HVAC []GasTank ;❑Gas Piping Shutters a Windows/Doors , Electric Plumbing '[]Sprinklers Generator E]Roof Total Sq. Ftrof Construction: of Fir S . Ft. s Cost of Construction: $ Utilities: _ Sewe Septic Building Height: tlOWIUER LESSEEt ?f I cON-RcroR so i� Named , `� 1e- a,lrj d Name: �s V taw PM Address: < ` Company: 1IRV Vifn 1101-n Address: S u �• C r � City: State: . FL Zip Coder Fax: City: Stated Phone No.`, Zip Code: 4Q - Fax:.�"�� E-Mail:, - Phone No. Fill in fee simple Title Holder on next page ( if different E-Mail: V VYA Ma i i.o %M from the Owner listed above) State or County License:CPO, ASS 62- If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 5 i I CONSTRUC1�t�N LIEN ��l.AW iNfORIVIATIQN �k� � � ` �_ ry � � �K ��SUPPLEMENl'AL € b� , ; � � 3' i � "�'i•'-.`s jp�,'� � m 3�`a' uz .n�: da��1 Sm a±a-i+z'f�, '�x € { s31 �.z, ar� ,�i� 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: VNot Applicable Name: Name: Address: Address: City: I. r. 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 arse 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 cordin Notice of Commencement. Sig`pbture of Owner/ Agent/ Lessee 1 STATE OFFLORIDA 01E COUNTY OF Lucie f The f oing instr ent s as acknowl dged before me this day of T%"20 14 by "Rud.l &Adder - (Name of person acknowledging) (Signature bf Notary Public- State of Florida ) Personally Known Type of Identification Pr( Commission. No. n) Revised 67/15/2014 OR Producedelde HOLE-•M APO Signature oVontractoe Holder , STATE OF FLORIDA COUNTY OF_ LAC '_I The f• ing ins ent as acl o I ged before me this day of 20� by VkLl ( -6 dd e-, y -6 L (Name of person acknowledging) (Signature of N tary Public- State of Florida ) Personally Known/OR PrOdLiced I entifi ion Typerof Identification Produced�� l EXPIRES May 04, 2016 ission NoIG!-135A �P ea ICH®LE RI1 MY COMMISSION # E EXPIRES May 04, REVIEWS FRONT ZONING ISUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW, REVIEW REVIEW REVIEW DATE ID COMPLETES INITIALS 't "., I - 4r_ 1 i