HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �'� `> Per iti
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Address:
Legal Description:
PropertyTax ID #: I �) off CAL
Site Plan Name:
Project Name:
Setbacks Front Back:
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Building Permit
mmercial
i_VOY
APR - 2 2018
ermfMng 'Depa rtmen
St. Lucie County, FL
Q6-7
Side: Left Side:
Residential . "
Lot No._
Block No.
Aaaitionai worK to oe pertormea under tnis permit- cnecK'aii xnat apply:
_Mechanical _ Gas Tank _ Gals. Piping °; i` Shutters _ Windows/Doors
_Electric Plumbing _Sprinklers : Generator Roof C� Pitch
Total S q . Ptof Construction;: `` 11l Sr
q '`7Sq.=Ft. of.First Floor:
Cost of Construction: $ 1gCr_�e°Y' Utilities _Sewer _Septic Building Height:
Name (—) 'v11n 6 Cw' h,+ Name: 'U'6 yl p U,
Address:`
Q-A>J �1-e.. (' Company:-ll6Q.'—Wte—Ir
City: t-t poPlF,-e-, State: Addres :_&73 SW 61eLJ <:f
Zip Code: a4PLT ( Fax: City: , v<4 S-F luck - State: r(
Phone No.-10�6- 646 _14-tq Zip Code: 3\4Q1P% Fax:
E-Mail: Phone No 1-7a aGzO //`'565
Fill in fee simple Title Holder on next page ( if different E-Mail Sk6&JV ^_ . J& �A �qAM C?60%,
from the Owner listed above) State or County License
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
A /
1 q
=_-Mom
DESIGNER/ENGINEER: s '. Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: i. State:
City: State:
Zip: Phone
Zip: Phone -
FEE SIMPLE -TITLE HOLDER: _.:: e_-Vvot
Applicable
BONDING COMPANY: Not Applicable
Name: " i .i " J'" _
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: ApplicEtion 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 Ow ers Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home OwnerlAssociation 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 RE
improvements to your property. A Notic
before the first inspection. If you intend
commencine work or recordinE vour No
ord a Notice of Commencement may result in your paying twice for
of Commencement must be recorded and posted on the jobsite
o obtain financing, consult with lender or an attorney before
ce of Commencement.
REVIEWS
FRONT
ZONING
SUPERVISOR
, PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 7/2014