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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 0 Building Permit Application 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 PERMIT APPLICATION FOR: Fuel PRQPOSED�fMPROVEMENTLOCATION o Y v r Address: 316 N jieaAe cor.►e% Legal Description: '1 W nw A 1-yS PropertyTax lD #: Z 2%%.— gOZ -c)cDo _ OC>O-3 Lot No. 3 Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DES`CRIPTiON OF WORKQ ,v4L Se aba Veq /owv� n. b 1 mc, n D OI rtrt4 n I 1 G � _w x.< 4 r4 :pp...yr�.: ec all a, V599 ©Gas Piping _ Shutters a Windows/Doors Electric El Plumbing, RSprinklers F Generator E]Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: ¢ Cost of Construction: $ 0 00, Utilities: Sewer Septic Building Height: OWNER/LESSEE �� CONTRACTOR r �3 --.s* t'„-.... ,.., ., ...wt �' r r� .;, ...,.axe.,:..v' s c ''{ �... a�... Name Name: Larry Licastri Address: 3Ceo T o Company: Amerigas Address: 3301 Oleander Ave City: P� nt P` -e st'-e State: �I Zip Code: 3 *9 Y6 Fax: City: Fort Pierce State: FL 1Phone No, Zip Code: 34982 Fax: 772-465-8448 E-Mail: Phone No. 772-633-0740 `ill in fee simple Title Holder on next page ( if different E-Mail: Brian.Pearl@amedgas.com `om the Owner listed above) State or County License: 0270M8579 'ra1uo of ennctruetinn is 0sfin nr more. a RECORDED Notice of Commencement is required. •_ - ✓Fe'C'1 ."'#r7ti- . �.y.._! -zSr; . --.{; J-.rS�r�: 4' s�Cf . �Y .ilfi - t- 1 �:a�ft 'i 7(.:'! jy`r�l -..,4.k"'3 :14i':,'c rhj DESIGNER ENGINEER: Not'Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable Name:' Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: 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 permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which 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 concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for Efoge me; to your property. A Notice of Commencement must be recorded and posted on the jobsite fir ection. if you intend to obtain finan ' , -c gsuit n+i1110ender or an attorney before en n rk r recording vour Notice of Commen ment j�k Holder STATE OtTWRIDA II STATE OFFLORIDA COUNTY OF �T .�.U�G2 COUNTY OF Sk.� The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of OCkmh4_,f , 26.J 1 by this 12 day of Octob,?.c . 20� by l (Name of pers acknowledgin ) (Signature o Notary Public- State of Florida ) Personally Known OR �� HERTDTA Type of Identification Produce :i� A m R Commission No. _ L%.�► . I,IfU.S�rI (Name of person ackn wledging C� At_�z (Signature of Notary Public State of orida ) Ily Known K OR Identification Produces iSe1gPIRES February 01. FW+ssion No. REVIEWS I FRONT I ZONING COUNTER REVIEW TE DATE SUPERVISOR I PLANS I VEGETATION SEATURTLE REVIEW REVIEW f REVIEW REVIEW Febnwry'01. MANGROVE REVIEW