HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FP APPLICATION TO BE ACCEPTED
UNNED
Date: BY Permit Number:
St. Lucie County RECENED
Building Permit Application OCT 12 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie C:unty, FL
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
I P�oPOS�bi'M--'�P�R'O�VEMtNT:L&tAtibN�,
Address:
Legal Description:
Property Tax ID 3sa.1 -(00S - Dols - 000 -1 Lot No._�3ce-D
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: _ Right Side: Left Side:
T'9
1','CONS.T,R--U-C�,rlO"-N',['N- FO-- R-MAT-10 N,:�
AdaitionaiworKtOpemerrormed underthispermit - check all apply:
11HVAC Ll Gas Tank 013as Piping Shutters NWindows/Doors
0 Electric 0 Plumbing []Sprinklers Generator D Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ /-/,/Z/
S Ft of First Floor:
Utilities"n Sewer D Septic
Building Height:
S
,,PONTRA�R_1,_
Name
Name:
Address: .3220 PleaSant Vin-I'l)-_
Company:&P//-'4e_-_-7z.'A/
Address:A6.17.'5 /CYe,724'
City: -State: 11c:2—
-2
Zip Code: S-5 4746 Fax:
Phone No. 19 1 - -///o
city: Plan k euyi State:PA
ZipCocle: VIS45 Fax:
Phone No. C-11i
) '186-
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: &/Zrb e ev'm
I State or County License: eWe' 05%73 5r/
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONST-RUCTION LIEN-14W k�611MAt,10'N'':_
DES] GNER/ENG1 NEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Addre5S:
City:
Zip: Phone:
State: _
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
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 Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conAct with any applicable Home Owners Association rules, bylaws or an9covenants 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 in.specti�cn. If you intend to obtain financing, consult with lender or an attorney before
as
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA
COUNTYOF
The f Ef9pilff instrume t wagcknowledged before me The forf9l'oginstrument was acknowledged before me
?'� . 2 0 Z—%y th is t;?� f" _rb
th is day 74 1 _day of 45V��— 20 / y
C"antplin
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Florida (Signature of Notary Public- State of Florida
Personally Known V/OR Produced Identification Personally Known V"' OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission
Revised 07/15/2014
(Seal)
Commission No.
MYCOMMISSION N GG05506
EXPIRES: Decomber 28.2020
B.xU Th, Notary Public Underwrittm
(Seal)
Mri qA ARMF:NM
MY COMMISSION# GG OW881
EXPIRES: December 28.2020
Wded 7hm Notuy Public Vn*rwrrtei
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVI EW
DATE
COMPLETE
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INITIALS