HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSCANNED
BY
St. Lucie Count%,
100
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i(�yy (p�q
Date: f~ ` 0 �q — V V
PermitNumber.
•
Building Permit Application 0^ Fr`��o
Planning and Development Services
Building and Code Regulation Division s1)), 09
2300 Virginia Avenue, Fort Pierce FL 34982 ��ciP aPp �9
Phone: (772) 462=7553 Fax: (772) 462-1578 Commercial_ Residential c06oh�sr
PERMIT TYPE:
Address: 1 V
Property Tax IDq:_3a�1,2?
Site Plan Name:
Project Name:
Additional work to be performed under this permit -check all that apply:
—Mechanical _ Gas Tank Gas Piping Sh tt
u ers
_Electric —Plumbing Sprinklers —Generator
Total Sq. Ft of Construction: 7 Sq. Ft. of First Floor:_
Cost of Construction: $ -2 C] Q .t9 Utilities: — Sewer — Septic
Zip Code:
Phone No,
r-mall:IinAa r1ilGaYlQ11Q.K2T G4m�fv,l
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
Lot No.
Block No.
_ Windows/Doors
—Roof Pitch
Building Height:
City: _ ly.0($ Stater
Zip Code: 22yQ )' Fax:
Phone No .S-- Qp2 y3
E-Mail
State or County License$ ggQ / S/ O
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Mix a.Uo'� eon uo G� . l .l,S i n `1 G1 50
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/I:Jui ro.
Name:
Address:
City:
Zip: Phone State:
FEE SIMPLE TITLE HOLDER: Name: Not Applicable
Address:
City:_
Zip:
MORTGAGE COMPANY:
Name: _ Not Applicable
Address:
City:
Zip: � Phone: State:
BONDING COMPANY:
Name: —Not Applicable
Address:
Zip: —Phone:
OWNERh CONTRACTOR AFion has : Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that ntt�yo work or installation has commenced prior to the issuance of a permit.
which is inc onFlicctt with any applicable iHome Owners tAssociatio rulel5 bylaws othe
and coveinants that may restrisubject
t 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, y
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 RESA NOTICE OFULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTENDCEMENT To OBTA NSFINANCING,RCONSAND
ULT
WITH YOU5 LENDER 09 AW ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Agent for Owner
)F FLORIDA
11OF pxr�Ave lii
ing instriiAent was acknowledged before me
day of�e�Te 6Q 201-to by
Known _� OR Produced Identification
ntin,ef;__
(Signature public- State of Florida )
Commission No. -
(Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
STATE OF FI
COUNTY OF
The forgoing instrument was acknowledged before
this _Loi day ofnlctc
20-a by
Name ofperson making statement.
Personally Knowr�
Type of Identification
OR Produced Identificationi• a
Produced
z a.
- o •� _ +Mary Public- State of Florid, % I
Commission No. -
(Seal)
:REVIEW
PERVISOR P S VEGETATION SEA TURTLE MANGROVE
EVIEW REVIEW
REVIEW REVIEW