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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLt FOR APPLICATION TO BE ACCEPTED Date: C+b o'Al 16 Permit Number:I 202S.19 N 1�JO� b31� s 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 X PERMIT APPLICATION FOR ..,G-e.rerator El .,.. �,— '- ,tu�a aka i ,�' "'& Wj Ib'�I 4 r's � r � a PR®PaSE�® II\/IFP'RO,�VEMIENTL®�ATI,®,N k ', s Address: 15 Castle Court Fort Pierce FL 34949 Legal Description: Queens Cove unit 1 blk lot h Property Tax ID#: 1414-701-0190-000-4 Lot No.H Site Plan Name: Block No. 19 Project Name: Setbacks Front Back: Right Side: Left Side: ull 3. ®E�1-�41�LE©_®,E�SCRIPTI�N ®F W®RKj E "4 I �n&W( 2-2-- �w 5kt,-- '10 C-renercLAOt" is Zoo � '� 5��✓�t� Mo��l�s : • x ,t �� " rr� CONSTRl1CTION IINFOy1RMAT'ION� � �,; r •�¢e Q $ `-.. P " SNA," .ATM resmE�� `�,�'.<`'e A itional work toe e orme under tispermit-c-check all appy: HVAC Ei Gas Tank ❑Gas Piping _Shutters E]Windows/Doors _Electric ❑ Plumbing Sprinklers _Generator ❑ Roof Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction:$ 7�) Utilities: Sewer E Septic Building Height: ®WNER/LE�SSEEp �r �y; r `" r C NTRP►' ®RE113 Name c-h 5 Name: ' E Address:`' 'CC 5 � �e Cp_v� company: .'.JY1PS' :.Zre..� . 1 le-64-(,,� City: C. �i'e•1_C� •l= 1— State:)5�__ Address: Dr. ,Zip Code: �{ Fax: City: �bC Ste.^ ciC�e': Stater PhoneNo. �702- ��r- 1 Zip Code: J � Fax:77� ?07-G/0 E-Mail: Phone No. -7 7,2-_ O— Fill in fee simple Title Holder on next page(if different E-Mail: D+'De�lGi Pl ,7 e.'1�lci a/s.Cav✓I from the Owner listed above) State or County License: If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: r 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.,. 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. / s _Signatur of Ow er/Les a/Agent Signature of Co rarAqv-71 icense Holder STATE OF FLORID ��/��� ORIi COUNTY OF COUNTY OF (/I The fryoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thisday of 20 �by this a day of 20 `S by an xn rt 1 V (Name of per n acknowledging) (Name of p rson acknowledging) apo" (Sign to of Notary P blic-State of rids) (Sign ur of Notary Public-State f Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification roduced Type of Identification Produced Commission No. n e Commission No. n Notary Public State of Florida ip Notary Public State 0 Florida Antonia M Paula Antonia M Paula M o+�° Expires 0 2/2 712 01 9 �`orA Expires 02/27/2019 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS