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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Applicati®n Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMITTYPE: -4er5 {PROP©SED IIVIPROVEM!EN�� ` L_0CATfI;ONI Address: 10 7 jr-1-- �, 0C_ Je.. Property Tax ID #: Site Plan Name: _ Project Name: J n�ci��4s5 DETAILUED ODE ,CR+IPTION„O;F WORKs, CO SiiRUCT10N'INF RfVIA ,IONI: --7 Additional work to be performed under this permit— check all that appllyy::� _Mechanical _ Gas Tank _ Gas Piping VShutters _ Electric _, Plumbing _ Sprinklers Generator Total Sq. Ft of Construction: Cost of Construction: $ -7 c, !j [D R Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic City �l t�4��IJ �cG� State: Zip Code: _3 9!� 7 Fax: Phone No.9 qi E-Mail: 5 0 o t r-,SS ��-`-IT v�c�r cry Fill in fee simple Title Holder on next page (if different from the Owner listed above) CONTRACT, uO;R Name. Company: r U r., Lot No. �` 7 Block No. i _ Windows/Doors _ Roof Pitch Building Height: it cirJ City: n0& 500.-7 � State: Zip Code: � L{SS Fax: 772 VC 6 7, Phone No _72- Z/SIGfz/ E-Mail i c,*-------------- r Gry�r v F — State or County License .Z Z! c) 9 If value of construction is W500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUaPP'LEIUIENTAL,", - ' �R9U: G"i l l� I:IEIU LAW IIVF�RMATION: DESIGNER /ENGIN EERa Name: Not Applicable Address: City' State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: City: Zip: Phone° -- OWNER/ CONTRACTOR Accin 61T° MORTGAGE COMPANY: Name: _Not Applicable Address: City: State: Zip: Phone: BONDING C®IVIPAN1f: _,_,Not Applicable Name: Address. City.. Zip: Phone: ---------------- . 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 that is granting a permit will authorize the ermit holder to build the subject structure whichii in coni a Consulanyi applicable Home Home Owners ersoc ocia and rules, b your deed r bylaws or d for any rest that may restrict or prohibit such In consideration of the granting of this requested permit, I do hereby agree that I will in all respects, perform the work ions which may ly, 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 "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY another n S residential use TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDS® AND RESULT IN YOUR PAYING POSTED ON THE JOB SITE (BEFORE THE FIRST INSPECTION. W YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO'�ICE D TO OBTAIN 'fa:fi� FINANCING, Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this day of 20 by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced Notary PUb11C- State of Florida ) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW NAva Signature of Contractor/License Holder STATE OF FLORIDA n ^� COUNTYOF The forrooing instrument was acknowledged before me this i5 day of Name of person making statement. Personally Known 1/ OR Produced Identification Type of identification Produced (Signature of o ary u ic- State Commission No.C�S`� (c�}-� �'(� I PLANS VEGETATION SEA TURTLE REVIEW REVIEW REVIEW commil"On G 49YB Comm. Expires J 27, 2024 through Nation I ary Assn. MANGROVE REVIEW