HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
COUNTY
F () !l I D
Planning and DevelopmentServices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone. (772) 462-1553 Fax: (772i 462-1578
PERMIT TYPE:
Address:
Building Permit Application
Commercial Residential Z
PropertyTaxiDlf: 3215- �OI _ oc>73'- �D- 0 Lot No. 20
Site Plan Name: 05-M4—lh Block No. 3
Project Name: S:517PM
Additional work to be performed under this permit -check all that apply:
_Mechanical ), GasTank Gas Piping _Shutters
Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ Utilities: _Sewer _,Septic
City: For+: S*% irv°'e, State: FL -
Zip Code: 't74494 Fax:
Phone No. 411 -,80L - L42,O I
E-Mail:
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
construction is $2500 or more, a RECORDED
Windows/Doors
,Roof Pitch
Building Height:
Company:AmeriGas
Address•3301 Oleander Avenue
City; Fort pierce State: FL
Zip Code: 34982 Fax: 772-05-8448
Phone No772-633-0740
E.MailAr6oriGas-7202@ameNgas.com
State or County License02701121579
required.
If value of HVAC is $7,500 or more; a RECORDED Notice of Commencement is regturea.
Name:
Address:
City: State:
Zip: Phone
Name:
Address:
City:
Zip: Phone -
COMPANY:' _ Not Applicable
Name:
Address: State:
City:
Zip: - Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
cityt
Zip: Phone:
OWNER/ CONTRACTOR AFADVIT: 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 County makes no representation thac Is granting a ermit will authorize themitholder to build the subjectstructure
which is in conflict with an aapplicable Home Owners Assocaatian rules, bylaws ar an covenants that may restrict or prohibit such
structure. Please consult with your Home owners Association and review your deed Cr any restrictions whleh 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 coneurrency review: room additions,
accessory structures, swimming pools, fences, wags, signs, screen rooms and accessory uses to another non-residential use
WARNING TO. OWNER: our failure W Record a Notice of Com Cireh
result in your paying twice for
improv nts t t lrtoperty. A Native of Commence t m cor and posted on the jobsite
kaf rho s inspect o . if you intend to obtain financi consu lender ran attorrtey before
as
OF St t_.r�. Q
The forgoing instrument was acknowledged before. me
thisgaday ofOazcsaSn)SRT .20a1 by
k
Name of person klne statement
Personally Known x OR. Produced Identification
Type of Identification
Produced MP ry Public : nua
Angela M Boc+
/� 1L ;r •a a My Commission C. cG,
The forgoing instrument was acknowledged before me
thls,'Ll_� day of fl Mkt' • 2t 6: i by
Personally Known 0 ra a taennocanon
Type of identification � .wk"'�
°'` ° •''• "'• f'• � ` Si nature of Notary Public- State Or riq 'c 0 _,,a
(Signature of NotaryPub(IaStataof IoH a f g �Oa?0'9oepq
GG�
Commission No.tgC1%s-� (Seal) Commission No. ��O (Sea
REVIEWS FRONT 20N{NG TSUPERVPLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
Rev.