Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INF UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: r?. /-7 0 a� I Permit Number: a " R -WED EGra- s Building Permit Application AUG / 1 2017 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: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT`LOCATION Address: /--/ 0 Legal Description'0: a Lz)T 8 K0 Property Tax ID #: 3 t-1 o rz-, _<b '- w / 3 - coo- Lot No. Site Plan Name: _ S" / M o /V Block No. Project Name: 51X00 1941.2L. Setbacks Front Back: 3:7,1 Right Side: Left Side: -a DETAILED DESCRIPTION.Q WORK 0_01v57'J2t447'T/,0N a/= ,U CP.acr�-'� AL -. PA i 1 v (EaPep-rm- £ONSTRUCTION INFORMATION: Ar !donna lAiewle to ha narfnrmori and urt is narmit--ram n�rf nt nnn v 1—'1 nHVAC ! �1 Gas Tank ❑Gas 51 Electric ® Plumbing []Spi Total Sq. Ft of Construction: Cost of Construction: $ _rz 000. 00 Piping LJ Shutters nklers Generator _ Sq. of First Floor: _ Utilities:I_ISewer Septic QWindows/Doors Roof Building Height: OVIINER/LESSEE ."',; CO,NTRACTOR. ' Name.S�,l; V4A Ine, Name: ) 9#AJ /K a In A� Address: ,if 3 kZW 54�WZ;� V-l� G Company:(S i o /1? ?624 S =0C_ -4 City: ��/i—�T - L u / E State: _Ee- Zip Code: � a 6 5 Fax: Phone No. l - �� Address: JV0,;l Ste' �/rl�'S % D /J 1-1-7 City Y%�T ! - �- i:[ c / State:L Zip Code: '3 IV J7 Fax:%72-3 5/0"QQ-;k 0 Phone No. 77 a - 41 f6-0ga 1 E-Mail: Fill in fee simple Title Holder on next page If different from the Owner listed above) E-Mail: _ i� ice© [0� , j ,i5lu (�4!)� J State or County License: e %JG= l-v.S b1'� It value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEM NTAL CONSTRUCTION LLEN LA W' INFORIVIATfON . , .:. DESIGNERANGINEER: Name: 0 R� L Address:LA-[J. _= City: ,, Zip: :5'3cI i / Phone: -��a _ Not Applicable /A,$ _ .t✓ State: Ft._ nj MORTGAGE COMPANY: _ Not Applicable ` Name: Address: City: f State: Zip: / Phone: FEE SIMPLE TITLE HOLDER: Name: of Applicable BONDING COMPANY: _Not Applicable 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. 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 1 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 improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement- STATE OF FLORI COUNTY OF The forgoing instrument was acknowledged before me th iQ�k- day of 20 A by (Name of persoN acknowledging ) (Signature of Notary Public State of Florida ) Personally Known OR Produced Identification Type of Identificati Produced,-►mr Pik g�RgRAAGOODMIAN MY COMMISSION # FF 101341 Commission No. \O * WrFAI * f%WMES: Match 12, 2018 )IVT \W Bowed ThiuBu*tNotary Servim Revised 07/15/2014 � /d re of ContractoctCio STATE OF FLORIDA COUNTY OF The forgoing inst ru nt was knowledged before me this X day of 20_Q by (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known Type of Identificatio Prod ced IdX3 .tip; Commission No. # NCt*%JyWOO ,lW NOO H INVI-111M REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS