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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO M T BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:U/ I J/ Permit Number: CA Building Permit Application4.�G% 5?� /,�1PQ Planning and Development Services s G� y cte +0 Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 r� Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential 9 PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED ILOC MPR®VEM'ENT ATION: Address: 9 4141"P'Alf, ue— i li Legal Description: Ile 117 d �c� Q. • 2L l��d/ � tP� PropertyTax lD#: '�Lll ? --53 �015�_p DO© a Lot No. Site Plan Name: __ Block N_ o. 37 Project Name: l//�dw--� fi;j�t az Setbacks Front Back: Right Side: Left Side: DE�AI'L R,1444 0, l'n i�r�i. c�oon 900al";,00C CO:NSTR�UCTI®.N IN'1=0RMATIQN: Additional work tonGasTank Orme under this permit—check a appy: Ev HVAC Gas Piping _Shutters Windows/Doors Electric ❑ Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: SFt.'of First Floor: 00 Cost of Construction:$ 403,50 — Utilities: _Sewer septic Building Height: ER/I1115RIE: CONi�TiRAC R: Name M,th4j Name: Address: Company: ` t City: jl2SL— State: L Address: (sv� ' e- roc— Zip Code: YFax: City: Stater Phone No. Zip Code: aq9f?, Fax: E-Mail: Phone No. -MI '3Y6PI Fill in fee simple Title Holder on next page(if different E-Mail: &/ 4 , from the Owner listed above) State or Counl y License: d V E; If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEiV1ENTAL CONS�"Rl1C�Tl!®.NN LAW INOAVFSOLf DESIGNER ENGINEER: Not Applicable� — pp 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 the permit 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 cgrWencing work or reco in our Notice of Commencement. s _Signature of Owner/Lessee nt Signature of Contractort is nse older STATE OF FLORIDA STATE OF FLORID COUNTY OF I COUNTY OF The fpr§oing inst ent was acknowledged b re me The forgoing insKument was acknowledgedLtefore me this day of 20 by this/aday of 20 by G�: , U (Name of person acknowledging-) (Name of person acknowledging) IV3� re of Notary Pu��oducecl a of Florida) (Signature of Notary Pu c-State f Florida) Personally Known Identification Personally Known OR Produced Identification Type of IdentificattorPro Type of Identification Produced LAWN MILONE . Notary Pu tate of Florida " Commission No. o = dal Commission No. gyPG% Comm. xpirs Mar 22,2017 = 1 SAWN Mill Commission#EE 877571 'r t y ,-mull N04fYPubllc•State ofilE ;�. Sonded roug National o ary ssn. ! Commission res Mar 22 2017 Hifi +M EE&77571 Revised 07/15/2014 ti++:• �w L Bonded Through Natlonal Norar 7 Asvi REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE CO M P LETE INITIALS