HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dermit Number:
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Building Permit Application
Plannina and E-eveiopmerT er zees
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: g772i 462-1553 Fax:1772i 462-as78 Commercial Residential x
PER9545ff APRUCATION FOR: r , .�
PR OPOSED IMP -RIW...MENT LOCATION: i
Address:
Legal Descript-lon:
Property Tax ID #: Lot No_ I
Site plan Name: — Btoel o,
proms a
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: ----
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Additional workto (eve orme under this permit - check
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a apply:
[1HVAC FI Gas Tank was Piping
L___j Shutters v }r3do�sMo ors
ner
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Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: S Utilities. - Sewer ElSeptic Building Height:
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i Name
name:
j Address:
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Company: FHIA LLC f
City: State:FL
Address: " SW 42ND STREET }
Zip Code.FIL
Fax:
`siiYe:
f Phone No.
( Lip Code: Fax:
j E-Mail:
I Phone No. 954-884-8500
Fill 'in f simple Ti€#e Holder on ire ( if different
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Owner #fdd dri Ss €
stateor aria€,ri License.,
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL TAL CONSTRUCTION LIEN LAW INFORMATION:
Name: _
Address:
City: —
Zip:
State:
FEE SIMPLE- t ItTLE MOLDER. — NoE Applicable
Name:
Address:
City:
Tl )- Phone -
MORTGAGE COMP: Not A-mSs ble
Name: —
Address:
City: State:
Zip: Phone:
BONDING, COMPANY.
Name:
Address:
Zip. Fhs'-rse-
I certify that no work or installation has commenced prior to the issuance of a permit.
=Not Appiicah e
St. Lute County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any appiicabie Horne Owners Association rules, bylaws or and covenants that may restrict or prohibit such
.si. u re_ I"'ease con sj,� ,�� ;�sr Home Oun wrs Association andl r evit"A wur deed for arty r&ons wh;ch app =
in consideration lie _ne granting ar this regUeSEeG pernlrE, i dv nereay agree teat twill, itin all respects, performt:e 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 concurrency review: room additions,
act Wires„ sw mmng pooks, maces, walls, sitgns, screen roevms and acres Lmes to arse non-resident al ase
WARN ING TO OWNER: Yaw 11 4itwe to Pwc d a Nofice of Qtmencem-ent aW resuit in your p ry twice TuT
.. p uys's s Sam y :s`.s`og 'rty. is `s Crs sss:a, s am —s.s .� i v th—
before the first inspection. If you intend to obtain financing, soft with lender or an attorney before
commencin work or recordingour Notice of Commence
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STATE OF FLORIDA51 STATE OF FLORIDA
COUNTY OF �yrw�_ �y►c/►.0 x COUNTY OF
this /4 day of 20 74 by
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(Sigfiature-Motary Public- State of Florida )
Psrsanami Xn—awn. /:� pmducc : od^ ca;n
T of t P
Commission No.
Notary Public State of Florida
Exp. 8iiiT 025
Tfie- forg&-c stf +arr was adgwyMedged more nnwe
this day of 20 fly;
(Name _ _ I M�e�������
PubNc Stele of Flom
A Mercado
c C lion HH 101149
OF Expires 04/ 5
(Signature of -
Pe;Knew;n OR Pnadlm� Idler-fifi� arm
?€ems
Commission No.
(Seal)
REVIEWS � FRONT � ZONING � SUPERVISOR � PLANS � VEGETATION � SEA TURTLE 'MANGROVE
COUNTER REVIEW REVIEW REVIEW PREVIEW � REVIEW REVIEW"
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