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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: : 7 J Permit Number: DECEIVED Building Permit Application MAY 15 2015 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 IF. D1085D IM°PRRVA EM'iEIRS T L©CATIOINS : Address: !l IA/00c) ) 0✓I o Legal Description: WT 13 /rl wuJ 1&_a J Prope rtyTax ID#: 3 ( sr�0l —0,0 1 _000-y Lot No. Site Plan Name: Block No. Project Name: 41Th e c,-00d! an /S SID Ldp- 0 Setbacks Front Back: In e' Right Side: Left Side: �DET�A'I�LED D��SGR�I'P�f'!U'N 0'�1=UUO�Ri I2'X7-0, W,+A $k 6" 016" e Ye Foo�� I Z' X kS ei:ddv,79 �o 4 vt e r.lgh f 5-/de of- SCn Coot d rlt✓ecs-ct5 �!" �hlc k ion crefe C'I 3000 v'k4h . f1 be, eSh h 100V6Cd, Ilii Ve q a a r&-7 Is ryyvi caved , *p is been bvitan P,4ia CONSTRUCTIQN NFOMATION: iiiiiiiiiiiiiiiiiiiiilillillilllli���Ill���ill���IN Additional work to be nertormed * under this permit–c ec a appy;; 'HVAC. Gas Tank Gas Piping Shutters Windows/Doors ';Electric ❑ Plumbing Sprinklers Generator Roof Total Sq: Ft of Construction: 7 r2 Q F Sq. Ft.ofE,irst Floor: �Z Cost of Construction:$ /yo D_ Utilities: Sewer LJ Septic Building Height: tJU1/NER/LESSEE: CC�}NTRA UR: Name M I Cil o eI r✓►e Name: 5(/Op► 1211 ✓G/ Address:691 wood lanA Q Company: C-OVI I V1 C City: Por-4 561,71 luct e State: iF/-- Address: 67Yz 4h drecvs Ay Zip Code: Fax: City:Ep,� State:__LL Phone No. Zip Code:? V C L1S Fax: E-Mail: Phone No. 722- 3)R 5791-to Fill in fee simple Title Holder on next page(if different E-Mail: r J p co,15+YvC4roi21 LDgtoai 1.cotO from the Owner listed above) State or County License: C2 A/ O's— If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. StJP!'LEM'ENl"AL CON5TRl1 ION MR11 LAUD INFORIUTATION: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: 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 County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure which is in conflict with 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, 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 commencing work or recording our Notice of Commencement. _Signature of Owner/Lessee ge t Sign pture,o„f_Contracctor/License Holder STATE OF FLORIDA �, STATE OF FLORIDA , COUNTY OF COUNTY OF `,' Zf1 The forgoing instru ent was acknowledge 4 The forgoing instrument was acknowledged before a tip, w W this day of � 0— 20 o � this /J day of�/,�•'V-- 20 by 6�N g UX =�� Y (Name of person acknowledging) sa (Name of person acknowledging) Mw MCC , HCl/ 2' � �° lQ � 7, S (Signature of No fy Public-State of Florida) ” v (Signature of Nol Public-State of Flori`a) {°a Personally Known OR Produced Identification Personally Known OR Produced Identificati •% ii,;ac' Type of Identification Produced Type of Identification Produced Commission No. (Seal) Commission No. (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMP LETE INITIALS