HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
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
PROPOSED IMPROVEMENT LOCATION:
Address: I 1 0 2
Legal Description:
Property Tax ID#: .J q07—�/ — 00/Z —C2=—1 Lot No.
Site Plan Name: Or..-ffWC.CrJ ll�bn6r Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work toe performed under this permit-check a appy:
HVAC E]Gas Tank Gas Piping Shutters Windows Doors
Electric �Plumbing Sprinklers Ilenerator ❑ Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
,p 1
Cost of Construction:$ �KKj 7� Utilities: _Sewer Septic Building Height:
OWNER/LESSEE: -CONTRACTOR:
Name Name: 1 rn&)17 T4k,,2,E�4, bTr
Address: J16 �7ri f'�/•� �L �1;�� Company:
City: �•I-•p'e_r[,ef State: Address: t)
Zip Code: 35gq'nr2. Fax: 16- City: �r� �'f r����'�_ State:
Phone No. —7-7 Z 3*7y I1300 Zip Code: 3 ::� Fax: 77a7-'9771—Co 3 7>
E-Mail: ,�' Phone No. 7?,? - V 7 -6 loe9n
Fill in fee simple Title Holder on next page(if different E-Mail:J yl-�a 1�21,ex ker,
from the Owner listed above) State or County License: 72,,22
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
May 1815 08:24a JBR Exteriors Inc. 7728716377 p.2
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DESIGNER/ENGINEER: Not Applicante MORTGAGE COPA PANY: _Not Applicable
Name: Name:
Address: Address.•
City: State: City: _ _. State:
zip:_ - _ Phone: Zip; _-- F,-Ione:.-
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COPA P1,MY: ____Not Applicable
Name: Name:
Address: Address:
Zip Phone: Zip'
I certify that no work or installation has commenced prior to the issuance of a pc:rn�It.
St.Lucie County makes no representation that is granting apermit will authorize the a it hvIder to build the subject structure
which is in conflict with any applicable Home owners Association rules,bylaws o ind it-:,nar t,that may,restrict or prohibit such
structure.Please consult wth your Home Owners Association and review your dried k:• r +y reslricdorns which may apply.
In consideration of the granting of this requested permit,I do hereby agree that will, -:re:penis.perform the work
in accordance with the approved plans,the Florlda Building Codes and 5t.Lucie Count. a Yenornrnts.
Thefollowing building permit applications arsexempt from undergoing a full cor+++fir r-P :•review; -oom additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accemor•' i es to another non-residential use
WARNLNG TO OWNER:Your failure to Record a Notice of Commencement yw it result in your paying twice for
improveme to your property.A Notice of Commencement must bc:' r+'+: ted aricl posted on the jobsite
before thei inspection.If you intend to obtain financing,con I: witl- 1:ndt:f o'-:3n attorney before
ommenc
ci�i o cordin our Notice of Commencernen +
i� ;t I r•
_signature of Own essee/Agent 5gnature of Cahtra. Wi a F+alder
STATE OF FLORIDASTATE OF FL+OWE50
COUNTY OF \� CL COUNTY Of- 2T.
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The for Ding instrument was acknowledged before me The for��jjsins i n:str, F -t wars i r knowledged before me
this day of 20 Lr—by this Wday•:+I E'l�r_�__. _-.20 ILby
(Name:7,,
n a7Zdging) (Name of per•.c,n a+-r !wierd•ging I
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(Sig • ur ofo ry Public-State of Florida) I ' re of Noi a••� •jblir:Sane of Florida)
Per ovally Kn WIFKdArpppdAtp � tlo r wally Know, - •a
e Type of idents I lr:.i, , r u
Type of Ident' d+ Shane Albe 'P 's ; �rerwrrpot,
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4rK 6xplrae D6/16/201x( eal Commission tvr. a Y NID EE W424
Commission c.a E�rInJ908rta1Jp16
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS vt.c ,' :%TION �SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW RI .':r'W REVIEW REVIEW
GATE
COMPLETE
INITIALS -_ _--