HomeMy WebLinkAboutBuilding Permit Application ALL APPLNABLk INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
Date: j MOTO
Building Permit i •
plication
Planning•and Develotpment
Building+ + Code Regulation Division
11 Virginia r venue,Fort Pierce FL 34982
Phone:(772)462-1553 FaX:(772)462-1578 Commercial Residential
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Name
Address:
City: lJ0Aenh.LM+ State:N_9
a" • + 7t
Zip Code:' FQa 1
• • i� I� i r
Fill In fee simple Title Holder an next
page If different /from the
Owner listed above)If value of . .
1 t or more,a RECORDED Notice of « required.
IL
J J •�
0ESIGNE
RIENGINEER.M Not Applicable MORTGAGE
T
A
GE COMPANY: Not
Applicable
Name: Name
Address:. Address:
City State: City:
State,
Zip: Phone: Zip:- Phone.
FEE SIMPLE TITLE HOLDER: 7Not-Applicable BONDING COMPANY: %14ot'Applicablee
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 Count make no representation that is granting a P2 ermit will authorize the permit holder to build the subject structure
which is in conwict watt any applicable Home OwnersAssoc ation 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 exert' pt 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
commencin work or recording your Notice of Commencement.
Signature of owner/Lessee/Agent Signature of Contra ctor/License Holder
STATE OF FLORID STATE OF FLO
COUNTY OF COUNTY OF
t was The �ringinstajqvm t acknowledge ore me
this ay gin �e �acknowledged before me .n was
0 La- y day'of \J IM
Th� of . 2 this da,
f2 by
1�ftq V\C11
(Name of erson acknowledging) (Name of person acknowledging*)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida
Personalty Known V/1"OR Produced Identification Personally Known X/OR Produced Identification
Type of Identification P ce
Type of Ideritificati Draw IQW-
Commission No. commission No.
of FlorW QUEVED0
ttate
yp6bt I
.-' k-Stalaof Florida
• ore
C
Revised 07115/ In
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIAL
60/60 39Vd N31W3Nd 1760TZ69ZZi 16:9T 9TOZ/ZZ/90