HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MU BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; SCANNED Permit Number: t rro 05 ��G
BY
1518 St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1SS3 Fax: (772) 462-1578
Commercial VI/ Residential
I PERMIT APPLICATION FOR; To Select from dropbox, click arrow at the end of line III
Address:
Legal Description:
Property Tax ID #: LF 150a t -
Site Plan Name:
Project Name A44 Feezz—
.Setbacks Front- - Back- - Right Side:
Left Side:
Lot No.
Block No.
N -611 T NST 110
A(lafrIona lwOrkrooeperrormea unciertnts permit- checkau apply: L
EIHVAC 0 Gas Tank Flas Piping CiShutters Windows/Doors
Electric D Plumbing OSprinklers ["]Generator
a4of
Total Sq. Ft of Construction: SO 0 S Ft of First Floor:
— — InSewerl] I-eightt 'IS
Cost of Construction: $ 000 - 00 Utilities: Septic Building I-
Own
*'
CONTACTOR
77�7�
Name N_:t_ff_18'5
Name:
Address,_q9j9_tS. e7?-;0A7f
Corn ly:
p:;
C y:
it r4Pi state:
Addr 2Qz3—
Zip Code: 359-S--7 Fax:
Phone No. /s-, 07's
city: Hob� &&L."&
Zip Code: q3c-7.5_ Fax:
Phone No.
state
E-Mail:
Fill In fee simpleTitleHolder on next page (it different
from the Owner listed, above)
E-Mail:. hT—A
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Address:
City:
Zip:
FEE SIMPLE TITLE HOLDER:
_Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY. _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit
St. Lucie County makes no representapon 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 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
_ Signatyfe of Owner/
OF FLORIDA ,J J STATE OF FLORIDA �{ 2�_/r�
rY OF lV l TIR COUNTY OF <� `rT7 T
The fo o' instrument was acknowledged before me
this ay of - �.e 20 aby
5 4& ( s
of Notary
Personally Known t/ OR Produced Identification
Type ofldentification Produced
The forgoing instrument was acknowledged before me
th20 nby
(Name of person acknowledging) if
(Signature of o ry Publi of Florida )
Personally !(mown R Produced Identification
Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
KIERAN DUANE FRAMPTON
:4 •r• My COMMISSION # 6Gt!)763a . .
Revised 07/1 EXPIRES May 23.2027 MY COMMISSION # GG]07536
EXPIRES May 23.202i
REVIEWS
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS VEGETATION
R IEW REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
FRONT
COUNTER
DATE
COMPLETE
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INITIALS