HomeMy WebLinkAboutBuilding permit appALL APPUCABLE INFO MUST BE COMPLErED FOR APPLICATION TO BE ACCEPTED
Date: 2 Permit Number:
-- -, Building Permit Application
Planning ondDevelopment Services -
Building and iD RegplpWn Oroisioh :`
23oo virginia Avenue, Fort Pierce FL 3498t
Phone: (772) 462 1553 Fax (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of line /7.>..s
Address:.
e;!V- J
Legal Description: t rs�reovf S 61V- e'
Property Tax ID #: -- C�.on Dt.ki.on Lot No,
Site Plan Name:
_Yie� Block No. C
Ab--3�^
Project Name:
Setbacks Front- Back: Right Side: T— Left Side-
apply-
Shutters windows/Doors
Generator Roof Roof pitch
Total Sq. Ftof Construction:
Ft. of First Floor:
ht..
i3tilities: Sewer�sept� gUi(dtngHeig
Cost of Construction:.$ ( —
State:
Phone
Fill in fee simple T tle Holder an naxt. page ( if
different
from the owner listed above)
Name Petk Ado HI
Lowe s.Home Ceoters;.LtG
Company:_ -
Address: Po -Box 789993..
State: FL
city: 6dahw
Zip Lode: 32878- Fax:
Phone 1-9
E-Mail: L .ni-1s B
CGCi5D8417
State or County License:
Name:
Address State:
City: Phone:. --
Zip:.
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: State:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address_
city=
Zip_ Phorn
Not Applicable
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 m conflict with any applicable Home Owners Association rules, bviaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and renew 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 esutt in your paying twice for
improvements to your property. A Notice of Commencement must be r rod d and d on the jobsite
before the first inspection/if�pu intend to obtain financing, consult wi le n r or atto ey before
..,..,onrinu work or re rdin your Notice of Commencement_ i
STATE OF RIDA
COUNTY F
The or o g rument was acknowledged before me
Rt bYM
Peter a Cafaro
OR Produced Identification
Type of identification 40 Kan eA
to
Commission
No-_ myq
Revised 07/15/2014
REVIEWS FRONT I ZONING
COUNTER REVIEW
STATE
The forgoi�)nstrument was acknowledged before me
Pe ACaiem III
;Name of person}cknowledging
Personally Known X OR Produced identification
Type of Identification Produced
Commission No_
=647
SUPERVISOR PLANS VEGETATION S MRTLE REVIEW RENVIERW
OVE
REVIEW 1 REVIEW REVIEW
INITIALS