Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED s Date: Permit Number: { 0W5 Building Permit Application @C414NED Planning and Development Services Buildipg and Code Regulation Division ani9e1e coup ty 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: 1-41 ,, L.one- Ve Legal Description: C-one&p �d��tz�lo�, �� 26 51-Ab L.o+S 'i e 5 C0•-7(o ac -- _3, io(o sjE)6pI2A1)3 -a352 J8IYS-2-7R5) Property Tax ID #: 4409 - 565 -- -Zo o 9 v o C> - 7 Lot No. 57 Site Plan Name: Block No. Project Name: UJFaf-e Setbacks Front +b ` Back: C✓s� Right Side: �v I Left Side: 7 + i DETAILED:DESCRIPTION, , _A O Iran al) /000 COL LX 40 aPp1,artce_s CONSTRUCTION INFORMATION Additionalwork to be performed Under t is permit - c ec all app y- �IHVAC Gas Tank ®Gas Piping _ Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers L Generator Roof Roof pitch Total Slq- Ft of Construction: Cost of Construction: $ J6/9q S Ft. of First Floor: _ Utilities:]Sewer Septic Building Height: OWNER,/LESSEE _. ' CONTRACTOR; J Name 77K y-e- m. ,,_) re Name: Address: M 5 CLh� Gar-&rnza Ln Company: FlorcAp a� Esc.7cesSz City: F4. ?1 %�_r-e A.State: r Address: )�©y/. d 4 y) e •- ALy City: 6+UAr# State:F(. Zip Coi de:3gQ 79 Fax: Phone No. _ _ _ Zip Code- 34t1g4 Fax: E-Mail: Phone No. `711-79-1 a1,37 E-Mail: to,-n Fill in fee simple Title Holder on next page (if different from the Owner listed above) State or County License: 96515 IIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I /1. -54' 1 I MIN I w DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City. State: City: State: Zip, Phone: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: 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 I will, in all respects, perform the work in accoirdance 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 orrecordinavour Notice of Commencement. n I,— FLORIDA /� STATE Of FLORIDA /I, OF %�lir'T�P1 COUNTY OF %f%aA til The for oing instrument was acknowledged efore me this day of 0 C+®lie r . 20 I acknowledged �C3i�nL 0 P_1S le- r (Namelof person acknowledging). (Signature of Notary Public- State of Florida ) Personally Known_ X-_—OR Produced Identification Type of Identification Produced Commission No./ Q� 1 p -4 0 ocia k GG 2��305 Revised 07/ 1 M`I The forgoing instrument was acknowledged before me this a day of ® Aa\o4 r . 20 A_K by !�elvxe& &2 e 4— (Name of person acknowledging) ( gnature of Notary Public- State of FI ida ) Personally Known --PC OR Produced Identification Type of Identification Produced ' Commission No. GC—QZ 1 15I V v � tia�y 3 R 0�. `a� # l:P\< MG `o c� 2e REVIEWS FRON NING SUPERVISOR PLANS VEGETATION E MANGROVE COUNT R REVIEW REVIEW REVIEW REVIEW IEW REVIEW DATE COMPLETE INITIA LIS