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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: V� Permit Number: SCANNED Building Permit Application BY Planning and Development Services St Lucie County 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: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: . Tl Address: Legal Description: Property Tax ID #: I -1 10 - �( Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No. Block No. DETAILED DESCRIPTION OF WORK: rrPLL& ruft VU OVwon ck i re, )AD w 4: n e1&) +' met+ Coda- v ee �t�f �e ►, t,til s CONSTRUCTION INFORMATION: Additional work to CJHVAC e e orme un ert ispermit-c ec Gas Tank Gas Piping a apply: Shutters ❑ _ Windows/Doors 11 Electric FlPlumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 2Q0 S Ft. of First Floor: Cost of Construction: $ ©U Utilities:lSewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name 0.rVt Name: Addres :%�� Warr Rd Company: - City: State: Zip Code: Fax: Phone No. 1'9 - UoU • a &96 Addres ' City: State: L.�p Zip Code: L Fax; 1`7_ `1 I ` dooi Phone No. �Z� d Cv- E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: iA21A)IA) . 9 [ o State or County License: IT value or construction is pZDUU or more, a RECORDED Notice Dt Commencement is required. E_' C owe "h' r81 SUPPLEMENTAL CONSTRUCTICNI LIEN LAW INFORMATION: DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: Not Applicable Name: _ Name: Address: Address: City: State: ZIP Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip; Phone: MAIRICD/rnurnwrr^ . —••r .nr a.vr• r rMLr vn, hrrruvl r: Application is hereby made to obtain a permit to do the work and installation as indicated. 1 certify that nt�oo( work or installation has commenced prior to the Issuance of a permit. which Is Inocon icct with any applicablerHothat wners Associations rulesabylaws or and covenants that build 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 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 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 corrimBricino wnrlr nr r.,� ,A; .......... n, -..:__ _a n_ __ __ _ Signature ofOwner/ Lessee Contractor as Agent -for Signature of Contractor/License Holder STATE OF FLORIDA �� LAC, ;e_ COUNTY OF , The forgoing instrument was acknowledge op�fore me this -Mday of fU�) 2C -aby Name of person making statement Personally Known OR Produced Identification Type of [dentificaygn Produced Commission No. aVsState *= Corr My REVIEWS I FRONT ZONING COUNTER REVIEW Rev. N GG STATE OF FLORIDA� COUNTY OF The forgoing instrument was acknowledga� 4efore me this dayof AKN/. 2(1� by Name of person making statement Personally Known OR Produced Identification Type of Identifiion Produced t L V) L' (Signature of Notary Public- St ) of Florida SUPERVISOR I PLANS REVIEW REVIEW Mate of Fiorioa- V""ry Commission M Notary Publi My Cnm,.,;.._: GG 270079 REVIEW I REVIEW