HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Application
ning and Development Services
ling and Code Regulation Division
) Virginia Avenue, Fort Pierce FL 34982
ne: (772) 462-1553 Fax: (772) 462-1578 Commercial
AUG 33 12018
Permitting Departmert
St. Lucie Count,-;
Residential
131�,RMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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I Description: Q '15- 9�
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�� HVAC E]GasTank F]Gas Piping _ Shutters a Windows/Doors
mElectric 0 Plumbing Sprinklers Generator Roof Roof pitch
Tot I Sq. Ft of Construction: Lb`� ,e - r S . Ft. of First Floor:
costofConstruction: $ ,3A� •C� UtilitiesInSewer L]Septic Building Height:
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Phone No.
fee simple Title Holder on next page ( if different
the Owner listed above)
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State or County License:
If vale of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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OV'JNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I c Irtify that no work or installation has commenced prior to the issuance of a permit.
St. �ucie 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
strt�tture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In c l nsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in a !cordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The ollowing building permit applications are exempt from undergoing a full concurrency review: room additions,
acc ssory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
W ROING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improv;;,,mm ents to your property. A Notice of Commencement must be recorded and posted on the jobsite
before7�1��i,�e first inspection. If you intend to obtain financing, consult with lender or an attorney before
CIOMr0eficing worker recording your Notice of Commencemen#,
re of"OWner/ Lessee/Contractor as Agent for Owner I Signature of
Holder
ATE OF FLORTWI
STATE OF FLORID
UNTY OF /11 COUNTY OF Y 1IQ�RA�I
forrI%ing instru nt was acknowledged before me
Ji day of 20J-L by
._ _ n
Nai'hd of person making statement
finally Known _ OR Produced Identification
of Identification
iature of Notary Public- State of F_ _ Ior'ri_a
9;pY BEV L. HADDAD
missi ryOtl N#GG0�31)
ie;? FJ(PIRES: July 6 2020
dFkR:�'� Bonded Thru Notary Public Undenvritors
EWS FRONT ZONING
COUNTER I REVIEW
DATE
REQFIVED
DA IE
COMPLETED
Rev.g%2/17
The forgoing instrument was acknowledged before me
this ay of 20 ,! by
N e of person aking statement
Personally Known person
Produced Identification
Type of Identification
Produced
�& C�Z' y4o�
BEV L. HADDAD
Commissio M '"; MY COMMISSION# GG 00fiUl)
r Q EXPIRES; July 6, 2020
°°•.FO�•Ft��` Bonded Thru Notary Public Underwriters
SUPERVISOR PLANS VEGETATION SEA TURTLE I MANGROVE
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