HomeMy WebLinkAbout703 Ring appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � Z_?_ z2 Permit Number
4 - Building Permit Application
Planning and�Devefopment5ervices-
Building and %gde Regulg5on Division
_-
2300 Virginia Avenue, Fort Pierce FC 34�82 - -
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of fine c Q
Address: 13 Zt 8 5p t ce-_ta.6 %n T�
Legal Description: L,*46-- &-£hA-Vcs P1o, ec''( "r `313
Property Tax ID-t-W- -70a 00934' oe)o-d Lot No. 8�
Site Plan Name: o, 42_-3,- Block No.
Project Name: -
Setbacks Front Back: Right Side: _� Left Side:
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Additional wo 'to De un r this permit- cliecic W1 atappir-
OHVACI Gas Tank ❑Gas Piping _ Shutters Windows/Doors
[(-]-=t Q Plumbing ElSprinklers Generator Roof Roof Pitch
LElectric
Total Sq. Ft of Construction: Ft of First Floor:
Cost of Construction..$ : Z To ( utftes _SewerF�l Septic Building Height..
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Name_ w... ,,,
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4 29 8 ce b 4s t++C Company-
Address .,
state: Address PA.Sox 781993'
City
C- CMaritlff'- : FL
State
3`I s 2' Fax: I rty: —
Zq;;Code:
79 Z - d' cl lL Zip Code:32878-1993 Fax:
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Phone No.
Phone Ne_;%7Z - Lill?- 3Lo9
E-Mail:
Fill in flee simple Title on next page (if different E-Mail:
_Holder
from the Owner listed above) State. or courty License: CGC150841.
tfvalueofoenstruthon,rs$2.i`.ttklormore,-aRECORD[ :NoticeofWmr. st Tewift,ed• -. -
Not
Name -
Address: '
City State:
Zip. - Phone .
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING' COMPANY:
Name:
Address:
City:
Zip: Phone:
Applicable
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflictwith 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 resew 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 CommencemenFnma esult in your paying twice for
improvements to your property. A Notice of Commencement must be d d and po don the jobsitebefore the first inspection u intend to obtain financing, consult wi r or alto ey before
.....— ni..+:�o of rnmmenrompnt _
STAJNF
L RIDA " STATE O LORIDA 11
COo O o Thein rument was acknowledged before me rgoi nstrument was acknowledged before me
thiso � . 20�,by this C_ ; of 3; pri_( ..20�._by
Peter a cafe o
Personally.
Type of Idf
Commission
Revised 07/15/2014
Of
OR Produced
PH ACaf.
Personally Known x OR Produced Identification
Type of Identification Produced
Commission
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
REVIEW
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS