HomeMy WebLinkAboutHofbeck AppI APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.'` Permit Number:
III
•fir ���'
Planning and Development Services
Building and Code Regulation Division
2300,Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-•1.553 Fax: (772) 462-1578
PERMIT TYPE:
Building Permit Application
Commercial X Residential
Address: as SZcVa� I�3T ___�urdvms� is.�cr�d 3
Lot No,
Property Tax ID #:
Site Plan Name: 1/ Block No.
Project Name:
Additional work to be performed
under this permit -• check all that apply:
'?Mechanical _ Gas Tank
Electric Plumbing
Total-Sq. F' of Cnr;stru::tion:
Cost'Lof Construction: $ 22 a27
— Gas Piping
Sprinklers
Shutters
-�< Windows/Doors
Generator Roof PEtch
Sq. Ft. of First Floor:
Utilities: _-Sewer _Septic
Address: ol_ a� !GVGY WA( is
Cites- �5 State: -(i
Zi .,Code: Fax:
;,
Phone No.
Fillin fee simple Title Holder on next page if different
from the Owner listed above)
Narne:-.)
Building Height:
Company: M&ALMDUSWA(NVQCU
Address: flo 13 a k' w-, bar"'
City: State:-OC_ -
Zip Code: 3263 Fax: 3a4-?1-')-42,
Phone No -7-7 aR- 337"4'f-70
E-Mail--JA.i_j%�i�pL�YSteutr�enC•t10
State or County License_
If Value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If va'iue of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
5
1 -
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UEMU"NER/!ENGINEER: _ Not Applicable MORTGAGE COMPANY:
NarXe° Name:
Address: Address:
City: State: City:
Phone Zip:.__--_ Phone:
FEF-,gMPLE TITLE HOLDER: -__. Not Applicable � BONDING COMPANY:
Add -Tess:
Zip: Phone:
Name:
Address;
City:_
Zip:
Phone:
Not Applicable
e:
Not Applicable
WN;FR/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
t. Lucis, ('ouisty makes nn representat€on that is granting a permit will author i?e the permit holder to build the subject structure
hick ;is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
tructiare Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
n cons.deration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
n acco';dance with the approved plans, the Florida Building Codes and 5t. Lucie County Amendments.
he folloiwing building permit applications are exempt from undergoing a full concurrency review: room additions,
cc, s 4)ru struca:L ire s, sw�mrning pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
`WLiiR�VNG -1.0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
'1'N!1`: E FOP tMPROVEMIENTS TO YOUR PROPERTY. A NOTKM OF COMMENCEMENT MUST BE RECORDED AND
e' Q$TED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, .CONSULT
�VST 11 V WW - t LENDER OR AN ATFORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
�q
SignaYijre of Qwner/ Lessee/Contractor as Agent for Owner
S-"ATE :)F FLi'&iL;A
CO�,,'��TY i3 --- ... ___........-..___-_-__
The f .r1-,oin8 :i-.sti'UPearit was acknowieaged uefure me
this day of 20 by
Narn7pf person rnaiOng statement.
Perc6.rjG&v Known _...-. OR Produced identification
Iy }Fa;G7,f ident,ficatior,
Prctd vici?d
(Sigrikkire of Notary Pub#ic- State of Florida i
v.
1 s.
Cornsr7lssion No. � � _-- (Seal)
Signature of Contra cto /License Holder
STATL OF FL COUNTY 0
ping )isstl-Lknent was acknowledged before me
this ! day of Al I AA ID 26 It h"
Name of person making statement.
Personally Known OR Produced identification
Type of identification
Produced
of NotdFv Public-
Comm}s lion Nof'�'��A�*� N ui�€ic Statd of Florida
A NM Antonelli
My Commission GG 152970
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION A T MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
la ATF
RECEf'vED
COMPLE. fED