Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: S \S Permit Number: �SoG'�Ot3�a RECEIVED JUN 15 205 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 here7777777 PROPOSED tNPROUEM>Z>\fT LOAfION` } Address: _7�-O5 R t LS Ct4;S1 Q��d' L i Q l Legal Description: W 00 d c6�i n "fti i 1 6 J k 1'4 1 L 2 M _131110 (fir - W Property Tax ID#: 13oi-613-©187 -0 00;3 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED D�SCit(Rl'�ON'QFt1NORK` ' 4r ' ' x } G G1,� z ow i 6r bye" .3 A I/V0 R NP2FJ 1! H7 7J AW Heofw CONSTRUCTION{N�ORIIATION h Additional work toepej orme under this permit-check a appy: nHVAC LJ Gas Tank ❑Gas Piping _Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers F�Generator Roof Total Sq.Ft of Construction: Sq.Ft,of First Floor: Cost of Construction:$ `7 rLpo,QO! Utilities:0Sewer 0 Septic Building Height: .0WNER/Lf5�SEECOIVTRACT()R� t Name May-k .SPi( Name: G 1'WC461 h Address: :7Z i 611,jr.ug' r-�. Company: � fl C1001il" City: T' , pit.rL[. Stater Address: 01 Zip Code: 3�q s- Fax: City: C-1. ,P ii ec c i Stater. Phone No. IN (a- IM Zip Code: Sq9 9.2- Fax: E-Mail: Phone No. _77L '165 _dQ6 Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner listed above) State or County License: L" e_ s'8 If value of construction is$2500 or more,a RECORDED Notice of CommencerAent is required. A r r 4Z SU.PPLENI}ENTAL�CONT 4Q rel[��Yr f �R •�•r� f "°1 lSt r 3 � �} 3a i 4 k C 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: OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated. 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 commencing work or recording our Notice of Commencement. Signature of Owner/Agent/Lessee Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF _Sr• Z"C"M COUNTY OF QST I-el The forgoing instrument was acknowled ed before me The forgoing instrument was acknowledged before me this day of ,20L—J by this day of ,200 by SO 1h(A e, (Name of person acknowledging) (Name of person acknowledging) Signature of Nota Public-State of Nor\�,1ti11llllrra�;'f4 ( ignature of Nota Public-State of Florida) w4v �� CAOR4 �Personally Known_�OR Prod` h — Personally Known OR Produced�l�Type of Identification Produced21r2o'O� Type of Identification Produced .� �lsslp ••"�� �: Commission No. rsr o7y2 g = SealCommission No. F,'O7A125'F `*;(fie 1) �y:• �;��:���` ��o: RFFo74259 Revised 07/15/2014 1111 7�/ll STASiII��° REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED