The URL can be used to link to this page

Home My WebLink AboutBuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: .i 'J' _ 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: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: " 60 Soceao 4 16o�1LL Y�MQn ;�eA am,` 3'tas� Legal Description:"The PCf1[l[5S !mac q\3t ksy �SkW JJVh;A� Ibq Property Tax ID #: 4 S02' F10 C>INq r 000 — 7 Lot No. Site Plan Name: Block No. Project Name: — Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: \/.WWqJ6VV35 t cko�'s ' to Tir i G dr CONSTRUCTION INFORMATION: tiona wor<to a erorme un erthis permit-c ec<a tea appy: / ❑HVAC �GasTank ❑Gas Piping ILJIShutters IIr/lf Windows/Doors ❑Electric ❑Plumbing ❑Sprinklers ❑Generator ❑Roof ❑ Roof pitch Total Sq. Ft of Construction: SgI�Ft.I of First Floor: Cost of Construction: $ %g 'Zt{ 2 Dy Utilities: LJSewer ❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: Tn n S\\MM r$ Address: l �j S © CLA Drw ll bo q Company: i FX>f Address:.ito �apl ice! Par D S(e eLL City: -p��bn �jPrlr ll State: Zip Code: .Sy 9:S7 Fax: Phone No.771 ' S qq f /163 City: Sr p;+CX State: Zip Code: S3C/Tg Fax: Phone No. 6ro(- 7YIj $6" E-Mail: ;remafD o.9ddX:�:01. GOf✓� E-Mail: Fill in fee simple Title Hal er on next page ( if different from the Owner listed above) State or County License: SCX,, 19I1 SzZ 2-3 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required, SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State:_ Zip: Phone: City: State:_ 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 Count makes noVrepresent tion that is granting a permit will authorize the ppermit holderI� to build the subject s ruelure appl �I61t such structure Plead consult wtthpyolur H me Owners Associationti nd review your geed for any restrictions which maor 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 a ther non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may res tin your paying twice for improvements to your property. A Notice of Commencement ust be rewrde a d posted on the jobsite before the first Inspection. If you Intend to obtain financing, c nsult with lends I. an attorney before commenting work or recording our Notice of Commehceme t. s signature of owner/Lessee/Contractor as Agent for owner SI atur of Contractor Le nstider STATE OF FLgBIgA STA E F FLOf� COUNTY OF icl.fN &1(4, COU of Thef rgoinginstr ent was acknowledged before me this day of _� 209iby The forgoing Instrument �was a knowledged before me this, day of 1pi � G� .20 Eby �noy ��CwS6(�yMMP�'� (Name of person acknow edging ) (Name of pecan acknowledging) (Signature of Notary Pub slate of Florida) (Signature of No ary Publl tale of Florida) Personally Known OR Produced Identification _ Type of Identification Produced Personally Known j OR Produced Identification Type of Identification Produced Commission No. (Seal) Commission No. (Seal) Revised 07/ 15l201 �9'� Notary Public State of Florida jla�y Public Stara of F Michael Mena ? Mlcheel Vbn6 a seath& al HIM n2a Expire 06/0512024 My �E■oi fa L 011105/2024 REVIEWS FRO VEGETATIO URILE R V COU I E I REVIEW DATE COMPLETE INITIALS