Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONj All AP ICI �LICABLE INFO MUST BE COMPLh-,-'11'D FOR APPLICAi'IOWTO BE ACCEPTED 1 Date; �. �Y' • �' Permit Number: / ?o %— 0-�i / - Building Permit App icatiorJEP 2 4 2018. Plan l'ing and Development Services Pei mittin ®��i«; ti� eilt Build, g and Code Regulation Division St. Lucie C®LIn 2300IVirginia Avenue, Fort Pierce FL 34982 y FLPho : (772) 462-1553 Fax: (772) 462-1578 Commercial Resi entla PER "MIT APPLICATION FOR: JIB � � � PRaPC�)SED UNPROMINVI, NT LOCATI®N: A dr�e b'—AW F— Ae,rl RA. 61 Lucie Co unfv IILegal Description: Fro ert : Tax 1 D #: �)^�"o(N U( U.UU U W Site PI IIn Name: Proiec , Name: IISetbjks Front Back: 'Right Side:_ Left.Side: _ Lot No. Block No. 0 ST ffil N INFORMATLON: itI!I nal work to be performed under this permit —.check all that apply: _ echanical Gas Tank —Gas Piping _ Shutters _ Windows/Doors lectric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch i aL II ��Ft of Gonstr•.uc Ion'- Sq. Ft. of First Floor: t:o Const�u.cti , ' 'a.$ c)b Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Nam ' Address: City: Zip Oi Phonil E-Malj:Y Fill in!,fee from Name: Company: I, State-ElAddress: de: C Fax: No,33C�219(offb City: State: Zip Code: Fax: Phone No VrsAAi��1��. <o0-\ simple Title Holder on next page ( if different the Owner listed above) E-Mail State or County License If valuel,of construction is 2500 or more, a RECORDED Notice of Commencement is required. S DPP E . EN CCa? STR+U TI � N l.�N �� t fORMA O o_ DESIGN R ENGI ER: _ of Applicable MORTGAGE COMPANY: _ Not Applicable Name• Name: Addr ss: �u - Address: City: te Sta: City: State: Zip: Phone�u + 5 5, a1�_ Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Name: Not Applicable BONDING COMPANY: Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. ., I certifyi that no work or installation has commenced prior to the issuance of a permit. jIVSt. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which isl in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such ct struure. 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 will, in all respects, perform the work in accorI ance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. I The follQwing 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 befo'r6 the first inspection. If you intend to obtain financing, consult with lender or an attorney before commebcinl? work or recordinl? vour Notice of Commencement. AI Sign , e bf _ r/ Lessee/Contractor as Agent r '� yy' r Signature of Contractor/License Holder � STATE/OF FLO o STATE OF FLORIDA X�a C 0 L I TY OF = � COUNTY OF mCD The forgoing instr ent was acknowledged�efor r Z The forgoing instrument was acknowledged before me thi ay of 20 by c _ this day of 20_ by `ryA` A Name of person making statement. a Name of person making statement. Personally Kno OR Produced Identification Personally Known OR Produced Identification Type of Iden ificati Type of Identification Produced ' • C . Produced d A (Sign ture of Not Public- State of Florida. ' (Signature of Notary Public- State of Florida ) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED (f7 DATE COMPLETED ev.