HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMF'__.D FOR APPLICATION TO BE ACCEPTED //� JJ��
Date:�ZQI �� Permit Number: q0 U �
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:
RECEIVED
MAR 2 7 2018
Building Permit Application PefstttLu Vecou®flt
Commercial Residential x
SCANNED
PROPOSED INPROVEM_ ENT LOCATION:
Address: 3311 rdcAOV
Property Tax ID #: 24--q ZLw—cco3co05 Lot No.
Site Plan Name:G��!1 1111 Block No.
Project Name:
OREM,
mg
AI
CTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters -Windows/Doors
_ Electric _ Plumbing — Sprinklers _ Generator Roof �j I ► Z Pitch
Total Sq. Ft of Construction: //11 I�Q�� Sq. Ft. of First Floor:
Cost of Construction: $ �U 3_ i,. 00 Utilities: _Sewer —Septic Building Height: 1lf�
OWNER/LESSEE:
CONTRACTOR:
�Na4me
Name:
Compan ;
1 ( v
CiState:
Fax:
Phone No. q $
AddressZ:
City: Stater
Zip Code:�q�Z Fax:
Phone No Z 50
E-Mail:
Fill in fee simple Title Holder on ext page ( if different
from the Owner listed above)
E-Mail Y1
State or County License 7
•t vulu. ..UI„•I UL•IU11 n pcouu or more, a KGW KUtU Notice of commencement is required. 3
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. On (0'6
SUPPLEMENTAL CONSTRUC ION'LIEN LAW INFORMATION -
Nam
Addi
City:
Zip:,
Phone
Not Applicable I MORTGAGE COMPANY: _ Not Applicable
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
Zip:
—vvlvcnr wrr r Km%-t UK 141-NUVI1: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that ntto�� work or installation has commenced prior to the issuance of a permit.
which Is inoconflircttawith any applicable iHome Owners Asssociationl rules authorize
bylaws or anScovenants 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 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
Signature of
STATE OF FLORID��
COUNTY OF
The ing instru
this dayof�
Na of person maki
n
Personally Known _
Type of Identification
Commission
as Agent for Owner
me
F
OR Produced Identification
'IRES: DEC 04, 2021
through tat State Insur
tr,�&00V-VV �
Signa ure of Contractor icense Holder
STATE OF FLOt;Ip/�
COUNTY OF \r I I
The fgr�ping ins a 1/w nowledge rbpfore me
this May of I 20�J/t_,y
in
Name of person making atement.
Personally Known OR Produced Identification
Type of Identification
ida )KATHERINE HAVENS
MY COMMISSION #GG165030
( JES: DEC 04, 2021
Bonded through 1st State Insurance
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