HomeMy WebLinkAboutSand Dollar Shores Building B Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Usk
Planning and Develop , mentSetvices Building Permit Application
Building and Code Regulation Division Commercial Residential
2300 Virg/nia Avenue, Fort Pierce FL 34982
Phone! (772) 462-1553 Fax., (772) 462-1578
�MITAPPLICATION FOR: &4z.eJo1
Address:
Property Tax ID -Arbldg. �SiR-6e2198ee ee6
Slte Plan Name: -0 bldg. 9522-605 0000-060-9
ProJect Narne- Z'
New Electrical Meter Second Electrical Meter (Affidavit required)
Additional work to be performed under this permit —check all that apply:
_Mechanical Gas Tank Gas Piping Shutters Windows/Doors Pond
— Electric Plumbing 'Sprinklers — Generator Roof — PItch
Total Sq, Ft of Construction: Sq. Ft. of First Floor.,
Cost of Construction: oft UtIlitles-
_ �O —Sewer _ Septic Building Height.-
Esso
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40
Name
Name: 617 it IS
Address.-'WD 6 T. 6kgan br,
Cewnpany.
State.
Address:k66 1),C (e 1'�)
ZIPCode, Vq�'l Fax
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City:
Phone No. 72-1 JT_2
Zip Code., Fax:
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Phone No I
Fill In fee simple Title Holder on next page (if different
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from the Owner listed above)
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State or County License
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If VOlue Of HAVC Is $7,500 or more, a RECORDED Notice of Commencommnt Is required.
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_ _ . _ • -- _T , .. ! s Nrl...a�ru3l 13 I3Cr �r,y rnaae co votain a permit to clothe work and Installation as indicated.
I certify that nv wbrk or Installation has commenced prior to the Issuance of a permit,
St. Lucie County make5 no represenn,ta�tion that Is granting a permit will authorize the permit holder to build the subject str cture
which Is In conflict with any ppllcabt'e Home Owners Assoc atlon rules, bylaws �+r an covenants that may re trict or pro lI It such
structure. Please consult wit your Fiume Owners Association and review your deed or any restrictions whit 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 accordahce 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 accessary uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in peYing twice for
op
improvements to your prerty. A Notice of Commencement must. be recorded in the pudic records of St.
Lucie County and osted on the jobsite before the first Inspection, If you Intend to obtain financing, consult
witl ider or afi iftorney before commencing work or recording your Notice of Commancer ant.
as
STATE O)ka
COUNTY ICE
Sworn to (or affir ed and subscribed before me of
thisdayof a20lt by
Name of person
Owner
Personally Known V OR Produced Identification
Type of Identification Produced
(Signature of Notary Rublic- State of Florida
Commission No, &C 0 1 i (seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
ZPhysical Presence or-.......____ Online Notarization
Q
Notary publicMats of Florida
Nexandra Kasen
My 4ammisrfon GG 2S♦OE9
r.� axpfres 101M022
SUPERVISOR I PLANS f VEGETATION SEA REVIEW LE I MANGROVE
f EVIEW REVIEW ! REVIEW i