HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUSS BE COMPLETED FOR APPUCWi ION TO BE ACCEPTED
Date: � 160oi. Permit Number:
OUNTY
Building Permi# Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 �
Shane: (772) 462-1553 Fax: (772) 462-1578 Commercial Reslodent"al
I PERMITTYPE: ,Q/C -------- H vac C00000A"5e ova
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID #:3- qqS,,,, � �(�0 �Ll Lot No,
site Plan Uame* It CL Ub ?LkT P4A96 3, BL.,K q ai. Le 2�c Block No. Yel
Projis
ect Name:
DETAILED DESCRIqlON'OF WORK:
0
4M
CONSTRUCTION INFORMATION4
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Additional worktobe performed under this permft —check alf that apply:
VMechanical has Tatnk _ Gas Piping, � Shutters � Windows/Doors
Electric � Plumbing � Sprinklers T Generator Roof Pitch
Total Sq. Ft of Con-structJon. Sq. jFt-of F'rst Floor
Cost of Construction: $ Utilities- � Sewe � �e plic ������ng He'ght-:-
OWN
Name 7� Name: �Q_ I .-,a 1A)._J�.�,�t
Address: 9J �o t,c� �. _�.�Campan�r_ �
4%
cityW'& t..V���.....,,..,......,,.,,... State.�, Address: eaw
__.Xft1L % . iA0A
dip Code: 3R3jr�L�—. �--� Fax,-.� city: State._7L '
Phone No. � � �- Zip Code,-. ' g Fix:
E-Mail* 1 Phone No wow tsell"w-r7 i)Swh'6
I , ion ^ - "J.*
a-
fromthe Owner list-ed above) i St -ate or County 1L_icense
__C_____A.0 3? 9 '7 '7
If value of construction ris $2500 or more, a RECORDED Notice of Commencementis required. .
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.,
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5UPPL€ME9V�'ALCONST�tl3CTig3N itEN L�„W IN FQ4�11ttAT#Oil:
DESIGNER/ENGINEERS Not Applicable MORTGAGE COMPANY.
Name:
�r- - - — - � -----.--.... e . -_-_ . — ._._===r■�.■■■v�i�■■v�■vurvvv��rrrrrrr=
Address:
44,
state:
Phone
FEE SIMPLE TITLE HOLDEN: V Not Applicable
Name,.
Address-:
City:
Zipw Phone:
Name:
Address;
City: S-Late
#
Zip: Phone:
- r+Yrrq�r i4t.nuu.■�uui■.�.� — - - - -
BONDING COMPANY. VONot'- Applicable
N a m e:
Address.-
C - ity:
Zip* Phone:
OWNER/ ON'1'RAt`"iOAFFIOVIT'O*
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.
St. Lucie Countymales no reresentativn that is granting a permit gill authorisetheyermit holder to build�iid fihe subject structure
whwhich is in can�c� with any applicable Name Owners Associationrues, bylawscar ancovenants that may restrict or prohibit such
structure. Please consult with your Fivrne Owners Association and review your deed for any restrictions which may apply.
In consideration of the grantir�g of this requested permit, I do hereby agree that will, in all respects, perform the warm
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
the following building pe it 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-residentiai use
"WARN= TO OWPMM YOUR FAILURE TO ,RTZECORD A NOTICE OF'COMNOWCEMENT MAY RESULT U9 VOU-raw� _r,;M,.AYJN,5'4'
IM I _.P
MW11bVENM_1_Zi -ST BE RE GRID-ED AND
T INICE FOR 7., TO YU U R PPXPEffM A NOTICE OF COMANE
WIU
POSTED ON THE JOB SITE" BEEFORE THE FIRST INSPECTION. IF YOU IWa END TO OETAN FINANCINCa. CONSULIT
OUR LENDER (D.R AN A117ORNEY BEFORE RECORDINC 1"OUR NOTICk"t OF COMMENCEMENT."
Signatu�e of Ow
STATE OF F!
COUNTY OF
The fo
this- 1.
A
r/ Lessee/Con'tractor as Agent for Owner
v
ing instrument was acknowledged before rye
day of111� 11,11,111111111,11111iiilllll
2a,Qf by
N5me of person making statement.
atu re of
STATE OF FLORIDA
COUNwi-Y OF C
The fo
this h
Ong instr ument was acknowl
day of
c3ITle of person Ii`laTi}ng statement.
d before me
L by