HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO M115t BE COI,, '-TED FOR APPLICATION TO BE ACCEPTEil
Date: Permit Number:
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SCANNED
BY C e
o St. Lucie County � R
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Building Permit Application
Planning and Development Services �p Q
Building and Code Regulation Division ��oP0�
00.�O{y
2300 Virginia Avenue, Fort Pierce FL 34982 '
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Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx>c��'t
PERMITTYPE: �, , l-il�_
Address: `%C�- 17 AL
Property Tax ID #:
Lot No. 5%
Site Plan Name: PAL- rn /3 e g- & Z & f /y bj Block No.
Project Name: /Ylo P_Ai ,�JGr„ cLt _ Pifif}-Sb (/ A
— �DO,:5_q—Ono— -7
ME
Additional work to be performed under this permit- check all that apply:
'/ Mechanical _ Gas Tank _ Gas Piping ✓ Shutters ✓Windows/Doors
Electric ✓Plumbingg (7 _Sprinklers _Generator _ ✓ Roof 6/i2, Pitch
Total Sq. Ft of Construction: --A 1317 o Sq. Ft. of First Floor: / 7 (�
Cost of Construction: $ /9 9 C7t� . _ Utilities: 'It/Sewer _ _ 2ptic Building Height:
OWNERLE�SEE,
';
CONTRACTOR
Name
Noenings,dz
Name: 0�rI'e_hr.
�ompany:eilar
�•i,l�eYS
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Address:J7o2<%S �� /ilvnn /�i%vl Irh��
City: State: F[_
Zip Coder-49 96Fax: 77-L- / A. 9/ 5�
Phone No.- 7W) z;et a - 7San
Address:37,�5 5
/tS Mon d, `faly) �u �t to
City: ! k, n h (-
Zip Code:' 4- (,
Phone No'17J-19,�2.7�ap
State:' EL
Fax: '7 7.L �Ai a.q/.S
E-Mail:e �rfPrntlmna.9,CoYY1
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail OA/L5WE !
ic Al ?
State or County License Cri3C-
11 value of construction is ;�zouu or more, a rctcunutu ivotice or commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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:
Applicable
Name:
Name:
_Not
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 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no represent tion 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 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 concunency, 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 JOB STiE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
ae/Contractor asAgent f
STATE OF fLORIDA
COUNTYOF t54- LU
The forgoing instrument was acknowledged before me
this 90 day of %� 20_L1 by
Name of person making statement.
Personally Known `� OR Produced Identification
Type of Identification
Produced
-(Signatu Notary Public- State of Florida )
Commission No. '0 io 09110ASROWE
Wa < Commission # GG 104656
Holder
STATE OF FLORID
COUNTY OF
The forgoing instrument was acknowledged efore me
this �day of D4=�20I�Ib
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission
REVIEWS I FRONT COUN ER I REVIEW I ZONING SUPERVISOR
I REVIEW PLANS I VEGETATION
AlDASROWE
on # GG 104666
Expires May 19, 2021
SEATURTLE I MANGROVE
REVIEW REVIEW