HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TOBEACCEPTED
Date: Permit Number:%®-(�j
ICOUNTY
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
PERMITTYPE: (�
PROPOSED IMPROVEMENT LOCATION:
Address: 7& (o kv.&l q,n,Ci
Property Tax ID #: o /—� Li L)` Lot No.
Site Plan Name: /Pooi {JCa_ Dek" �tw Block No.
Project Name:
[DETAILED DESCRIPTION OF WORK:.:..;
J a NP la G- S : .
All Con e x�f�c. w !Gl I,� P)�o0 IDS �10� A,A � 7-_ &I A' •e k till//tea.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric -Plumbing _ Sprinklers _ Generator' Roof Pitch
Total Sq. Ft of Construction: Sq. Ft: of First Floor:
Cost of Construction: $ 50 wo o - o o Utilities: Sewer Septic 'Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ze,,,q-acwt 06.V--
Name: Zakte., C'&O"
Address: %(vb R m_4 bow—
Company:Z T(- I
City: State: L
Address: 82-80 CrtrL-� car A W_
Zip Code: J4 iK) Fax:
City: f®rf sR Lubt-ci State: �L.
Phone No. 7E-14,7-S— SU
Zip Code: 3cl117 Fax:
E-Mail:
Phone No 77Z -2110- (34(P
Fill in fee simple Title Holder'on next page (if different
E-Mail 3-I'(-o C0rXC.CXke - PWS wv I • C,oM
from the Owner listed above)
State or County License
If value of construction -is $2500 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. .
'
ApplicableDESIGNER/ENGINE.ER: Not
Address: .
Address:
City:
State-:-
City: -State-
Zi p: Phone,
Zip: Phone:
.FEE SIMPLE TITLE: HOLDER:
Not Applicable
BONDING COMPANY:- Not Applicable
Address:
Address:
city:
City!
zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application ishereby made toobtain apermit tndothe work and installation asindicated.
1, certify that no Work 6 r installation has comr-nenced prior to the issuance of a perrnit. `
St. Lucie County makes no representation that is granting a permit will authoeize thesiermit holder to build the siubject structure
Which is in conflict with any applicable Home Owners Association rules, bylaws or an covenantsthat 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.1 Will, in all respects, perform the work
in accordance with.the approved plans, the Florida Building Codes and St. Lucie County Amendments.
Thefollowing building permit applications are exempt from undergoing a full concurrency review: room additiom,
accessory stru ctures, swimming pools, fences, walls, signs, screen. rooms and accessbry-uses to another hon-residential use
"WARNINGTO OWNER: YOUR FAILURE TO RECORD A NOTICE -OF COMMENCEMENT MAY -:RESULT -IN YOUR PAYING
TWICE- FOR IMPROVEMENTS TO- YOUR OROPERTY-A NOTICE OF COMMENCEMENT MUST BE RECORDED, AND
POSTED ON THE JOB SITE BEFORE THE, FIRST INSPECTION. IF I YOU IINTEWTO OB*A1N FINANCING., CONSULT
WITH YOUR LENID�R Q"N ATTORNEY BEFORE RECORDING YOUR NOTICOOF-EVNIMENCEMENT2'
Signature o nertLde=s=se=e=/m_Contractor as,Agent for Owner Signature
STATE OF FLORIDA STATE OF FLORID
COUNTYOF COUNTY OF r
The forgoing instrument was acknowledged before me The forgoing instwlent was acknowledged before me
Name of -person making Name of person -making statement.
. . '
~~.
Personally Known 0RProduced Identification
___
Type of identificption
Produced L
Commission Nj..�,�
AUDREY B.
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Personally Known _-_-----_. Produced ~^......~.�_----'
Type or Identification
Produced'�
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