HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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
PRCSf} MPKOEMfiITtO_CATION . �,� ` at. ,
Address:
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Legal Description:
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Property Tax ID #: - W- - - 0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks[ Front Back: Right Side: Left Side:
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rtiona wor to e e orme unclerthispermit-c ec a apply:
11HVAC Gas Tank -]Gas Piping _Shutters Q Windows/Doors
01 Electric Plumbing E]Sprink)ers Generator 0 Roof
Total Sq. Ft of Constructio ((C /C D S Ft. of First Floor:
Cost of Constru n: $ Utilities:Cn Sewer El Septic Building Height:
Cost of Constr ?
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-Name
Address:
Company:
City: 1 State:
Addr ss: LS
City: State:
Zip Code: Fax:
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E-Mail: N/I��/L
Fill in fee simple Title Holder on next page ( if different
E-Mail: r
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State or County License:
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. '
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip:
MORTGAGE COMPANY:
Name:
Address:
City: State:
Zip: Phone:
Not Applicable
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co 1 ict with any applicable Home Owners Association rules, bylaws or andcovenantsthat 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
STATE OF FLORIDA II. STATE OF FLORI
COUNTY OF , J l C I COUNTY OF —
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