HomeMy WebLinkAboutBuilding Permit ApplicationALLAPPLIG�LEIIN •OilVi�lF,�:QMPLETED FORAPPLICATION TO B ACCEPTED
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Permit Number: Date: L.1{ 16/
WR CE LL r lrw s
Building Permit Application AUG i 2017
Planning and Development Services Public
Building and Code Regulation Division St. Lucie ``L
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential_
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 1
Legal Description:
Property Tax. ID #: j®`°Pti ('7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back fight Side: Left Side:.
IIC)14 /9 1� i-n n u rn OO / YC-0-
CJHVAC U Gas Tank ❑Gas Piping U-Shutters Q Windows/Doors
Electric Plumbing Sprinklers �� Generator Roof
Total Sq. Ft of Constructi 2 /`7/ S t.. of First Fl
Cost of Construction: $ Utilities Sewer _ Septic Building Height:.
Name:
Company:
City: _9AFt 1"WV'' State' Address: /.Z&J
Zip Code:' :3 Fax: City:1 A
Phone No. Zip Code:.
E-Mail: Phone No.
Fill in fee simple Title Holder on next page ( if different E=Mail: W
from the Owner listed above) , State or County
If value of construction is $2500 or more, a. RECORDED Notice of Commencement is required.
State:—�
Name:
Address "
City: State:
Zip: 7 Phonet
MORTGAGE C MPANY: _ Not Applicable
Name: .
Address:
City: State:
Zip: _ Phone:
FEE SIMPLE TITLE HOLDE Not Applicable BONDING COMPANY: _Not Applicable
Name: Name•
Address: Address:
City:. _ City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has,commenced prior to the.issuance of a permit.
St: LucieCDunty makes no
which is in conflict with an
structure, Please consult 0
build
may
In consideration of the granting ofthis requested permit, I do herebyagree that I will, Wall respects, perform the work
in accordance with the approved, plans, the Florida;euilding Codes and St:, Lucie County Amendments,
The following'bullding per mit'appiications.are exempt from undergoing a full.concurrencyreview: room additions,
accessory structures, swimming pools,.fences, walls, signs, screen:rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failureto Record.a Notice of Commencement may result in your paying.twice,for
im rovements to your,property. A Notice of'Co. mmencement must, be recorded and posted' on the jobsite
before the first inspection. lf`you intend to obtain financing, consult With lender oran attorney before
—Signature of Owner/`Lessee/Agent nature of Contractor License Holder
STATE OF FLO STATE OF FLORID
COUNTY OF196&'COUNTY OF p_�L%---
The for oing instr t was acknowledge .before me
this day o� 2�tiy
The forgoing instrum was ac nowledge 1, bofore me
this dayof 20 /L by
(ame of person acknoAedging
(Name of person acknowletin g)
(Signature of otary Publ - Stat f Florida) (Signature of N ary Public- St of Florida )
Personally K Personally Known "dui
o y nown OR Produced Identification y �
Type of Identification Produced Type of Identificati,
EXPIRES: 4ui
Commission No, �` MyCIMES OE�F0140i0 Commission No. �:, �•' BomledThruNat
EXPIRES: July 27, 2D17
Revised 07/15/2014
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