HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
711
- St. Lucie County RECENED
aw Building Permit Application
Planning and Development Services ULI 1 4 LUI(
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 PERMITTING
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ResidentAl. Luc/ county, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Site Plan Name: Block No.
Project Name:
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Total Sq. Ft of Construction:
Cost of Construction: $
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Name: ,142,
Address: 2 19 Mmia St Apk 501
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City: State:
Zip Code: S3 Fax:
Phone No.576/ - -147 - -ZWO
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Zip Code: H 14 L S 149 Fax:
Phone No. (.5114) 386 - LlqS3
E-Mail:-
Fill in fee simple Title Holder an next page ( if different
from the Owner listed above)
E-Mail: /6c' &/OZ)e 60M
State or County License: e4de, C5-Z?3 5-1
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGI NEER:
Name:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
State:
City: —State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY: —NotApplicable
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 Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in co 14ict 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 inspection. If you intend to obtain financing, consult with lender or an attorney before
as
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA
COUNTYOF
Thef4ygg*lnstrq��t k ledged before me The f nstrument was acknowledged before me
this�-� day of dos now . 20 1 Xy this;�Wof 20 J _177'cy
LT IrMyd Cm- y �\pn � V �.c �n (2�o Max tw
(Name of person acknowledging ) (Name of person acknowledging)
on MTS WIN
Personally Known �/ OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
REVIEWS I FRONT ONING
COUNTER I ZEVIEW
INITIALS
MELISA
(Signature of Notary Public- State of Florida
Personally Known V" OR Produced Identification
Type of Identification Produced
Commission No.
EXPIRES: December 28,2020
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SUPERVISOR I PLANS
REVIEW I REVIEW
MELISA ARMENTO
9VAINITIVU
VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW