HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSAll APPLICAB E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1 / 0
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Building Pesrmit 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: S
,PROPOS°ED INPROVEMENT LOCATION: Y31.pt
Address: 3 % h dIC'! T L.,C� F"L ,� 9�•
Legal Description: ST I-e-%G i c .49 LCil7 zl�F 3Co Td Z54k 3
Property Tax ID #: T y — J C 1 • 1OCe
41
Site Plan Name:
Project Name: C^z ev Fti oognu R GS I C etii -6-
Setbacks Front 1 ���81 Back: Iq S_ Right Side: Q1. q Left Side: eL 9. •�,
OETAII ED. DESCRIPTION OF WORK:
-A'4 3tb..C+; O.t�` Si n)� C �-aA•lt t y '>E$i �!
�.�i - M E
Lot No. CO
Block No. .3
CO.NSTRUGT[ON IN:FOR11/IAT10
Additions workto ., be performed under this ¢permit— ch 16 ck 5ii t A app y:
Mechanical _ Gas Tank _ Gas Piping _ Shutters,. /, indows/Doors
✓ElectricPlumbing _ Sprinklers _ Generator Roof Sv
h
Total Sq. Ft of Construction: �� /.[S/! Sq. Ft.. of First Floor: oC
Cost of Construction: $ ��V � ities: =Sewer --Septic Building Height:
E
C;V1lNER%LESS,EE.
CONTRACTOR:
Name wA d SkA-4,JA Arasjw-61df
Namel
Address: 31 . E1 c+. IO I
Company:
City: p4 Z IS4 "C i C State: fL
Y-
Address:
Zip Code: `�i$•.Z Fax:
Cityo, Stater
Phone No. 7(_-O�AX7
Zip Code- Fax:
E-Mail: I'6'�N /�1Kp�
Fill in fee si le Title Holder on next page ( if cliff t
rro
E-Mail L�
from the Owner listed above)
State or ounty License if
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/EN
Name:(
Address:
p: _gC7 j Pho
FEE SIMPLE TITLE HOLDER:
Name:_
Address:
City:
Zip:
Phone:
Not Applica
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
,Applicable
State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 rep resentatiori.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 & 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 wild; in all respects, perform the work
-,iriaccordance,with,theapproved,plans,;the, Florida Bukfd.ingCodesand St,Lucie,County. Amend [rients.
The following building permit applications are exempt from undergoing a full coricurrencyreview: room+additions,
accessory structures, swimming pools, fences, walls, signs, screeri'rdo— ris arrd 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 arid -posted on the jobsite
before the first inspection. I ou, intend to obtain financ'irig, consult with le'n er rn
att'o�ney before
commencing' w gco ding your Notice of Commencement: i�'//
Signature'of Owner/' e' Contract as'Nent for
°'
<Sign re of'Gontrac�r. tense Holder, •,:� ;1`"''
STATE FLORID
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Personally no OR Produced Identification
Personally n OR Produced Identification
Type of Identifica o n .
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Type of Identific do
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DATE
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DATE
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Rev. /j1U14 V