Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) �/ Date: SLHIVNtL. Permit Number. St. LUciBP rnnnt• RECEIVE® Building Permit Application FEB / 1 2017 Planning and Development services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce Ft 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 11 Address:• •opeop r)r unit toni. "• Fforb,EL 34-qS-7 PropertyTaxlD#: Lot No. Site Plan Name: — Or-aan RisC Cacdo-S Block No. Project Name; Rtsidicocc Setbacks Front Back., Right Side: Left Side: R•eMGVC QY1Ck rCP1CzCe (I) sl Id I ag _ Gtass door Total Sq. Ft of Construction: Cost of Construction: $� S Ft. of First Floor:_ Utilities:Sewer Eleptic City: - nwc r% State: E L Zip Code: 34CI9-7 Fax:_ n .1Q Phone No: 4.40 -- lag — S(o76— -- E-Mail: mr I rPPCP rni r�r2i _ !`nr•fl Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Company: Building Height: Address: ?,SiOSE nlXl a•}WV City: ShALIrt State: FL Zip Code: _ 34Ci7 - —Fax: 77a a$fo ©4 ioI Phone No. _-Mt - s78fo - C}4521 E-Mail: r_ yrn_ I gSl7a Q a • U - (%C fD State or County License: R-iSI 3 If value of construction is $2500 or more, a RECORDED Notice of Commencement is Name: City: FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: RNUtt MAUsE COMPANY: - ` Not Applicable Name: Address: City: State: Zip: .Phone: 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. aU wOe cauni manes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in con Act with any applicable Home Owners Association rules, bylaws or anr3 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 1 will, in all respects, perform the work in accordance yrith the approved plans, the Florida Building Codes and St. Lucie County Amendments. .� The following building permit applications are exempt from undergoing afull wncun-envy review: room addRions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWIVER: Your failure to Record a Notice of Commencement may resui&in your paying twice for improvements to your property. A Notice of Commencement must 6e recorded d posted on the jobsite before the first inspection. If you intend to obtain financing_ consult with lende an attorney before STATE OFfEEH iU* !)) STATE OF FLOR6 COUNTY OF__,_ 6& i 1n COUNTYOF �Qr44n The forgoing instrument was acknowledged before me this I V\hday of 20-12-by (Name of person acknowledging (Signature of INomryMublic-state of�i'lorida ) ow Personally Known — . OR Produced identification 7� Type of ldentFfcation Prdduced rid-.'--Zl\-, 4w" k c •nSo Commission No. L - _ (Sea[) Revised 07/15/2014 The forgoing instrument was acknowledged before me this I3, day of )i bt LQ Yu 20 J7 by T1i.U1 I Q,P1 ad-e (Name of person acknowledging) � (Signature of Nota Public- to of Florida ) Personally Known OR Produced Identification Type of Identification Produced_,_._-. - - Commission No. ��" "�o••. 1R.9 rMAN- 4" Notary Public - State of —REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEAfiIIRTLE- 'MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW' =-' � REVIEWiz --, -': REVIEW GATE COMPLETE INITIALS