HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL AP f LI BEE I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1
SCAN N ELPermit Number,
BY
St. Lucie County RECEIVED
Building Permit Application APR ! 9 2015 Planning and Development services
Buildin# and Code Regulation Division /
2300 V1 ginla Avenue, Fort Pierce FL 34992 /
Phone'(772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERM1, 'APPLICATION FOR: To Select fro dropbox, click arrow at the end of line
WHVA6 1 LJ Gas Tank Gas P
[]Elect, is ' Q Plumbing []Sprin
Total Sq. Ftl I f Construction: �n1
Cost of Construction: $ . V 0 _
Na
off IrlState
Zip Code. a Fax:
Phone No.
E-Mail:
Fill in fee slTple Title Holder on next page (if diffe
from the "nor listed above)
if value of construction Is $2500 or more, a RECORDED I
UShutters Windows/Doors
[]Generator ❑ Roof
SO. Ft. of First Floor:
s:5ewer DSeptic Building Height:
Name:
W"Mogifi-40--ido—a I .. — . - .
I�/--
Commencement is required.
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IOZEbEEZLL TO:bT SIOZ/60/170
i
Name:
Add re:
City. _
Zip:—
FEE SIP
Name:
Addres
City: _
Zip:
I certify tl
St. L Cie 1
whit Is it
structure.
In conside
in accorda
The follow
accessory
im
Not Applicable MOI
Narr
Addl
State: City -
Phone: zip:
11.1: TRLE HOLDER, — Not Applicable BON
Nam,
SAGE COMPANY: Not Applicable
State:
Phone:
COMPANY: —Not Applicable
Phone: City:
zip; Phone:
t no work or installation has commenced prior to the Issuance of a permit
mty makes no representation that is granting a permit will aut prize the permit holder to build the subject structure
;nflict with any applicable Home Owners Assocition rules, by aws or andcovenantsthat may restrict or prohibit such
ase consult with your Home owners Association and review our deed for any restrictions which may apply.
J6n of the granting of this requested permit, I do hereby agree that i will, In ail respects, perform the work
e,With the approved plans, the Florida Building Codes and St ucie County Amendments.
building permit applications are exempt from undergoing a I Lill concurrency review: room additions,
uctures, swimming pools, fences, walls, signs, screen rooms a id accessory uses to another non-residential use
TO OWNERS Your falilure to Record a Notice of Comm ncement may result in your paying twice for
ynts to your property. A Notice of Commencement test be recorded and posted on the jobsite
first inspection. If you Intend to obtain financing, c nsult with lender or an attorney before
tgwork or recordine vrnir Nntid-c of r.,- _
Signature ofj Owner rv- - v—
/ Agen Lessee SJgnatur L, of Contractor/License Oolder
STATE OFQFp ORIDA /�,� STATE F FLORIDA
i G! COUN OFAaag�n
The f rgolnInst ' n a
this M' " ` � cknowledge befiore me The forg ing instru ent was acknowledged before me
�'T` a{ of 20 by this day of 20
y
PT
(Name of pe iso acknowledging )
(Name o person acknowledging )
(signature oii,lotary Pub ' State of lda )
ll `// {Signatu a of Notary p biic- State �fFriida�)-
Personally Knq�wn OR Produced Identification Personal) Known �//
Type of Identification Produced OR Produced identification
Type of i entificatlon Produced
commission No. (S�}y$TAL MqRIE
Cskt s on No.
' Z MY CWMLW0N e E A—— � AMIE CRU
�1Y COMMrggbN #
Revised 07//I 5/2014
REVIEWS I FRONT
COUNTER
INITIALS
£0/£0 3Jdd
ZONING SUPERVISOR PLANS
REVIEW REVIEW REVIEW
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EE 18
B JURe 26.2018
VEGETATION SEATURTLE I MANGROVE
REVIEW REVIEW + REVIEW
TOZ£b££ZLL TO:tT STOZ/60/b0