HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr-
ALL APPLICABLE INFO MUST B,QEE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 )�j Date: �' T 0 SCANNED Permit Number: I (J OS' 0 / /
M-1 1
.. BySt. Lucie County RE
CEIVED
Building Permit Applicat on
Planning and Development Services MAY
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permittin
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial �t�sikNfli
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end ofOil
Address:
Legal Description:
T" ass 3oF7-- /UD <ESS yT o�
Property ax
' Site Plan Name: Lot No.
Block No.
Protect Name: ® tp Qn (lGT lle�
Setbacks Front Back: htSide: Left Side IC>Y
NF w SffED t)5�eD FofR �W0124
11vH1 U Gas Tank
Electric 0 Plumbing
Piping L._IShutters
Generator
Total Sq. Ft of Construction: /0 UL"
StI�Ft�. of First Floor: _
Cost of Construction: $ ��fjD Oi) Utilities: TJSewer Septic
Address: !00
City: MAC-) fjrgc# State:4!��
Zip Code: Fax.=, 5� 7 a.S/
Phone No. 77oi — S67,Og67
E-Mail: %CE Cow%
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
value of construction is
Name:
Company:
Address:
nQ Windows/Doors
IJ Roof
Building Height:
..^,• � r f ), -/T State: 1Z
Zip Code:_ : Z96;r _ Fax: j 6 -- —p 11
PhoneNo.- 77�—S�3�D%Oa
E-Mail: �CT� BELLS.
State or County License: _CGC 05757e:5�
or more, a RECORDED Notice of Commencement is
"j to
Name:
City: LOrI/GW Stater
Zip: 3� %79 Phone: 07— 9— ? 3
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City:
Zip:
ne:
ECOMPANY: Not Applicable
s:
City: State: _
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie CountyY makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflictwith 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, 1 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
commencing work or recording vour Notice of Commpnrpmpnt
_ Sif,`6ature of Owner/ Lessee/Agent
STATE OF FLORIDA�� ' e
COUNTY OF (,y
The fIo(r{g-oing instru was acknowledge efore me
this i� day of ///.) . 20 &_by
fir'/J_l&i=f tii ; 1 J 0, A
State of Florida
Type
16.
Devised 07/15/2014
el
STATE OF
COUNTYOFORIDSR/V1' Lt�UC
The forr of instrument was cknowledgedbeforeme
this�_7iay of Mhly, 20 by
(Name df person acknowledging)
Public- State of Florida )
Personally Known I/ OR Produced Identification
Type of Identification Produced
Commission No.
REVIEWS G
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
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REVIEW
REVIEW
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