HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATIONTO BE ACCEPTED
Permit Numbe 60 � -0039
r • • Permit Application
BuildingPlanning and Development Services
and CodeRegulation I /
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772) . : CommercialResidential
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DESIGNER l OF Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: _ State: T City: State:
Zip: Phone: _ Zip: Rhone:
FEE SIMPLE TITLEHOLDER: _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.
5t.Lucie County makes no representation that Is granting a permit will authorize the permit holder to build the subject structure
which Is in conflict with an ,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 recopciing your Notice of Commencement.
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5- 16ure of ontra r/ icense Holder 'Signaure of ontra r/ rcense 1161der
STATE OFSTATE OF
FLQRIDIV ORIDq JCOUNPYOF COUNTY OF
The foraoing instrument was acknowledged before me The foraoing instrument was acknowledged before me
this �!�' day ofma&= 120 l by this . '-day ofmag:. „------_ ,20 lS by
(Name of person acknowledging) (Name of person acknowledging)
_ , . 4-1 4A Ct WL
V WWI We,
(Si nature of Notary Publi - tate of Florida) (Si nature of Notary Publ, - tate of Florida)
Personally Known OR Produced Identification ___ " Personally Known_V�OR Produced Identification
Type of Identi cafgUgWifilred Type of Identifica
+ " MICHELIE,Er
OM41S MICHELLE'THOMAS
Commission J4S Commission Is51Gta IHSS
Mafeb 23.2018 M (AIMS MefCh 23.2018
McV1S�Cl V//1S/LV14
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS