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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICA
TION TO RE ACCEPTED
[date:
Permit Number:
L.�
..........,�...
BUildinf 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
PERMIT APPLICATION FOR;
Commercial Residential
Lot No.
Block No.
Address: i ., ���_ ��U� �:
g
City; Company:
State: Address:
Zip Code: °
Fax. City:
neN#--)
-
.0l
Phone a. r .�a
o State:
E-Mail:-_---_ Zip Code: Fax:
Fill in fee simple Title Mol(�er an next
Phone No
pale if different E-Mail
ho Qwner listed ab4ve)An-
from- toyy
State or County License
value � _ ---
of construction is 2500 or more, a RECORD
value of MAVC is $7 Soo o Ep Notice of Commencement is required.
-----
r more, a RECORDED Notice of Commencem q
ent is required.
MORTGAGE COMPANY: Not Applicable -
Name:
Address:
City.. State:
Zip: Phone: -
BONDING COMPANY: 4 °ot Applicable
Name:
Address: --
City:
Zip: - Ph®ne:
OWNER/ CONTRACTOR AFIsIDVIT: Application - � --
pp ion 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 n® representation that is granting a permit will a
which is in conflict with o applicable p authorize the permit holder to build the Y pp Home Owners Association rules, bylaws or and covenants that may restrict or structure
structure. Please consult with your Home Owners Association and review Y , or prohibit such
your deed for any restrictions which may apply.
In consideration ®f the granting of this requested permit, I do hereb a e
in accordance with the approved plans, the Florida BuildingCod y gre-- that I will, in all respects, perform the work
es and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing ergoing a full cancurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and ac censor
y uses to another non-residential use
WARNING TO OWNER: Your failure to Record a `
Notre of Commencement may result in paying twig for
improvements to your property. A Notice of Co �
Lucie County and posted on the jobsitemmencement must be recorded in the public recards of St.
witer before the first inspection. If you intend to obtain.
..� ran a before commencingwork or recording financing, consult
©ur N c of Commencement..
Sign f Owner/ Le see/Coactor as Agent for Owner
STATE QE FLORIDA ,
COUNTY OF -- AAC-
,
At— — --
Sworn to (or affirmed) and subscribed before me of
-V Physical Prese c-1e or Onli
this of ��� �"
ne Notarization
day
202b by
Q F ,
Name of person making scat ment.
Personally Known koelOR Produced
Identification
Ty e f Ide tifi_cation -
c e d
. , � ..
(Si at f [ary Public State - - -
_ , �NN1669if(Nq
G. .�v� SHANNON WATTS
Commission No, f =20: CO
MMISSION
- e 14355,
,r SEP 16, 2024
- 9 `4, Bonded through 1st State Insuranc
REVIEWS FRONT ZONING S
— COUNTER REVIEW
REVIEW
ATE REVIEW
D
RECEIVED
DATE
COMPLETED
ev.-S767'a7F
Sign'�te of c©n ractor ic.ense older
STATE OF FLORIDA
COUNTYOF
14"
Sworn, o (or affirmed) and subscribed before me of
PhAysical Presence or� Online Notarization
this day of
2020 by
Name of person making statement,
PersonallyKnown �
OR Produced Identification
Type of Ide tification
Produc d 8 ` "
(Sign at"ure of otary Public- State of Florida
�,,,, .#01 SHA o m rn i s s i o n NOIH�-
1W, ���` NNON WATTS
b COMMISSION #HH 43 5;
I EXPIRES: SEP 16 2024
tit
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PLANS VEGETATION SEA TURTLE MAN
REVIEW REVIEW GROVE
REVIEW REVIEW