HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��— Permit Number:
Building Permit Application
Planing and.Developrnent services
Buildmg and GQde.Regtdp6o» Division ` - - -
2300 Vrginio Avenue, Fort Pierce FL 34982 ` x
Phone: (772) 452-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Za�,c
Address: v SRo y �.<, CA, l7 v
Legal Description: - Q.:vtoAl (auj0w.'s %r
Property Tax ID #: 5 407 (0041 proo-7 _ og` Lot No.
Site Plan Name: &4 FS W4 e s Block No. co i
Project Name`
Setbacks Front Back- Right Side: ' Left Side_
— `-
rtion wo to under this permit— caneCK
❑HVAC Gas Tank []Gas Piping Shutters g Windows/Doors
nn_ Electric Plumbing 0sprinkiers - Q Generator Roof Roof p tch
L�
Total Sq. Ft of Construction: SqD
Ft- of First Floor.
Cost of Cor>structian:.$ 3 i g S-
`5 UtilitiesSewerLjSeptic Building. Height..
I Narde: ve' ACaia4a'Hl .-.. .
Name=� "t r . i ov s Home Centers -LLC
�U "i r u.. �✓ Company.
Address.:.P_O-i3ox 781993..
Stater Address:
Fax
-. State: FL
Zip ode^3cf�$ cityZip Code: -32878-1993 Fax:
Phone No.
Phone No- ?12 NI 8 3vq <
E-Mail: - ernas
Fill in flee simple Titleadder on next page (if drtfieremt E-Mali: G L 17
from the Owner fisted above) State. or Coiirity License: CGC t
Rvalueofo> n.is$2mormme'aREC(i6DH'Nogmof eetis*egL&ed-.
Name --
AddPess:
City State:
Zip_ - Phone
FEE SIMPL€ TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
COMPANY: i Not Applicable
Name: _
Address:
City —
Zip: _
Applicable I BONDING COMPANY:
Name: _
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit
St. Lucie Counttyy makes no represer
which is m conflict with any applica
cture Please consult with your
authorize the
, bylaws or an
Applicable
emit holder to build the subject structure
covenants that may restrict or prohibit such
,r any restrictions which may apply.
Stru
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 Lude County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, smit ming 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 esult in your paying twice for
improvements to your property. A Notice of Commencement must be r rd and d on the jobsite
before the first inspection/If�pu intend to obtain financing, consult Len or alto ey before
...._.......,nr& nr rP rrifn vour Notice of Commencement.
STATE OF
COUNTY
The
Type of IdeTitification
Commission No.
Revised 07/ 15/2014
REVIEWS
acknowledged before me
2oZcby
OR Produced Identification
981647
STATE
the f rgorr�nstrument was admowledged before me
fray of r: ( 20 by
PA Cafdm III
(e of personcknowledging )A
oaturef
I
otaryPublic-State Florida)
Personally Known X OR Produced Identification
Type of Identification Produced,_—
Commission No. 2No�&*0f1
FRONT ZONING SUPERVISOR, PLANS VEGETATION 1 5 I MANGROVE
REVIEW
COUNTER REVIEW REVIEW RED REVIEW
INITIALS