HomeMy WebLinkAboutBuilding Permit Application ALL APOLICABLE INFO COMPLETED FOR APPLICATIONTO BE ACCEPTED
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Building PermitA0plication
Planning I r Development
Building r I Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone.(772)462-1553 Fax:(772)462-1578 Commercial ■
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Code,
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Fill In fee simple Title Holder an next page(if different
from
the Omer listed • • r
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p IGN I ENGINEER: V Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
city: • State, City: State: --
Tip: Phone.• - -- Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: dApplicable
Name: . Name:
Address: Address:
City: City:
Zip: Phone- _ Zip: Phohe-
I certify that no work or'installation has commenced prior to the issuance of a permit.
St.Lucie Coun,�yr make;no representation that is granting a permit will authorize the ermit holder to build the subject structure
which Is inwnflid with any applicable WQme OwnerSAssoaation 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 coristderatian of the granting of this requested permit,I do hereby agree that i will,in all respects,perform the work
in accordance with the apptvned plans,the Florida Building Codes and St.Lucie County Amendments.
The following bullding 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
WARMING-TO OWNER:Your failure to itecord 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
commendnR work or recordin our Notice of Commencement.
s
essee/Agent } Is'irT. tltz r„. or/Eicense Holder
STATE OF FLORSTATE OF FLORIDA
Q
COUNTY OF COUNTY OF.
The forgoing instr4i�nt was acknowledge efore me The forgoing instr was acknowledged before me
this I day of '+�l'�I 20 y this, „_day'of LA 120 _611y
6r�
(Name of person acknowledging) (Name of person acknowledging)
� . aWLIL-) . I � . und"L
(Signature of Notary Public-State of Florida) (Signature of Notary Public- to of Florlde)
Personally Knowqe c e fi tin Personally Known V-_.OR Produced Identification
n o
Type of identificatf P Type of Identification
p f `ILI111„
a L OUEVEDO
Commission No. T
. E NOlary.•PI 5tate-07 FlQfadd Commission No. r?4 s Hatary �,$late of Florida
1f Cgni K( rps'Jui`31,�D11Y, My Comm.Expires.'Jul-31.;4016 ;
• �9 Commlaslvn•�LE.i7.7478.�;.:' ��
'Y.•
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVI5OR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
1NMAL.S
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