HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST.BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_ 0' 31 5 . Permit Number:
RECEV"T JUN 2 3 20
1a
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)4.62-1553 Fax: (772)462-1578 Commercial Residential pC
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROP-USED I(itIPR01/EMENT LQCATIC)'l�J
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Legad Description: c! ywtiACfwv p� phase !nett
ProJ?erty Tax ID#: S147,-5- -105 - 0010 - 000. 5 Lot No.
Site Plan Name: Block No. y Z.
Prq.ipct Name: VL,zncr $Z$8 clye
Setbacks- Front Back: Right Side: Left,Side:
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Additional work to e e ormeunder tis permit checkall t a appy:
11HVAC D Gas Tank Gas Piping ElShutte
rs E
Windows/DoH ors
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Electric Plumbing Sprinklers E]Generator l:J Roof
Total Sq. Ft of Construction:/ S . Ft.of First Flodr:
Cost of CoAstruction:$ PS50 Utilities. _Sewer Septic Building Height:
{ tUNER/LESSEE
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.��,� � I�fR OR
Name Cl- Name: Boysie Ramdial
'Address:-331 7DOW vCompany: The Home Depot At Home Services
City:?Dry' Lucy"e State:FL Address: 674 S Military Trail
Zip Code: 3L/q$2 Fax: City: Deerfield Beach State:FL
Phone No. Zip.Code: 33442 Fax:
E-Mail: Phone No. (954)379- 1500
Fill in fee simple Title Holder on next page(if different E-Mail:
'from the Owner listed above) State or County License: CRC046858
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTION LIEN LAW {NFORMAT{ON.
DESIGNER/EApplicable , MORTGAGE .... ,...: .... ___ ,. _....: ._�.,e.. .=a. ..__ r
N_GINEER: __Not COMPANY: _Not Applicable
.Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEESIMPLE 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
commencing work or recording our Notice of Commencem.ent.
Signature of Owner/ gent/Lessee Signature ofContractor/License Holder .
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_day of 20 14 by, this day of 2014 by
'Boysie Ramdial i Boysie Ramdial
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
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
COMPLETE
.INITIALS'