HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONZ / "
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED
Date: -� //• �7 SCANNED Permit Number: y"I
BY
• St. Lucie County
Building Permit Application RECEIVE®
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial X R
rcinivii —I HrruLATION FOR: To Select from dropbox click arrow at thi
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PROPOSED.IMPROVEMENTLOCATION,
Address: Florida Turnpike Moe Marker 145
Legal Description:n1M
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Property Tax ID #: 3431-122-0001-000.5
Site Plan Name:
Project Name: �J2fp� �uR� o j5-wz,4_
Setbacks Front Back: Right Side: Left Side:
OFWORK
� �` • ,� �//umr��r� Srr �e i�Imiwrn
M=. •.unperma:—cneacair app�_
HVAC Gas Tank ❑Gas Piping _ Shutters
Electric 0 Plumbing Sprinklers Generator
Total Sq. Ft of Construction: S . Ft. of First Floor: _
Cost of Construction:$ %a�Q.DO
i Utilities: SewerQSeptic
City:.m lii fly ( State: �( u
Zip Code:2f2iat&_ Fax:
Phone No.
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Bryan Vaughn
Company: creative Sign Oh
Address: 12801 Commodity
City: Tampa
Zip Code: 3362
Phone No. 813-907-8000
E-Mail: Forpemuls@aol.con
State or County
or more, a RECORDED Notice of Commencement is required.
APR 10 2017
Bsidential
end of line
f -1191
Lot No.
Block No.
❑jWindows/Doors
L J Roof Roof pitch
Building Height:
rsigns
Place
State- FL
_ Fax:
i
S-12000639
SUPPLEMENTAL CONSTRUCTION LIEN -LAW INFORMATION: III
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
_Not Applicable
St. Lucie County makes no representation 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 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
commencine work or recording vour Notice of Commencement— n i
STATE OFfL
COUNTY OF
The foVPW1'-M
this day of
(Name of
Personally Known of
TypeofIdentification
Commission
Revised.07/15/2014
me
w
ate of Florida )
Produced Identification
I
„+ar„ ,bfa((IpewT,Wheeidon
.k tttaiPublic, State of Florid
STATE OVFLORID
rnIIN na/L�SC�/✓y
The fo °�4nstrum nt was a knowledged before me
this / day of J y 2014 by
(Name of pefson acl a edging)
(51ary Public- State o Florida )
Personally Known / OR Produced Identification
MW of Identification Produced
No.
Notary Public, State of Florida
rnmmissinn No. GO 29728
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