HomeMy WebLinkAboutBUILDING PERMIT APPLICATONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 Permit NumberA 5 O 1t33 14
_ _ RECEIVED MAR 191015
1
-"19 Building Permit Application SCANNED
Planning and Development5ervices BY
Building and. Code Regulation Division St. Lucie County
2300 Vlrginto Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial _, Residential
PERMIT APPLICATION FOR:
Address:
Legal Description:
Property Tax ID #: ? 4Q -011 /SG/O - 000- 6 Lot No.
Site Plan Name: P SL P/9z� i 2r Ill LLC' Block No.
Project Name: _-7Z /Zo/ Gr rr-ge 14a t
Setbacks Front Back: Right Side: Left Side:
Shutters
-Windows/Doors
Electric _ Plumbing —Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction:
Cost of Construction: $'
City: n //17 rivT State:
Zip Code: //003 - dDoD Fax:
Phone No.
E-Mail:
Sq. Ft. of First Floor.
Utilities: =Sewer _Septic
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name _
Company:
Address:
Building Height:
City: /zrT /i_ernr State:-1-0/
Zip Code: 3yIh? Fax: 27L-$6;r-M
Phone No. 7207 -633 •07510
E-Mail: o
State or County License: zS2 26 ?
of construction is 2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER ENGINEER:
Name:
_ NotApplicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACiOR 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.
no
build
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 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
im mentsto your property..A Notice of Commencement must be recorded and posted on the jobsite
fore th fir inspection. if you intend to obtain finan , c tysult ilth,lender or an attorney before
c men ne rk r recordine vour Notice of Commen e' r�ient l�
Lessee
OF
The for Ing'Instrument yeas acknowledged before me
this rclayofIY74P M 204-!C`by
Personally Known_XO I �t�
Type of Identification Products ��„
Commission No.
REVIEWS
COMPLETED
(SeMpIRES July 16.
Holder
The for Ing Instrument was acknowledged before me
thismodayof Ma'eh 20j-f—by
ZONING FRONT COUNTER I EVI W I SUPERVISOR REVIEW I REVIEW
Notary Public -
VEGETATION I SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW