HomeMy WebLinkAboutBuilding Permit Application Date: -1 Permit Number: -OVA
RECEIT:-D
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 Cbmmercial Residential
PERMIT APPLICATION FOR: Mechanical
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Legal Description 41f;,C, yWM-N
Property Tax ID#: 5-0 1 Q -a SE b CK) L-o Lot No. ID31
Site Plan Name: Block No,
Project Name: -5 mrn u_&,rne,%
Setbacks Front Back: Right Side: Left Side:
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Additional work toe np-iformed unn-derthis permit---cFiFdk5`1Ftff at apply:
HVAC [:GasTank E71 Gas PipingShutters Windows/Doors
Electric Plumbing ESprinklers []Generator Roof
Total$q. Ft of Construction: So.Ft.of First Floor.,
Cost of Construction: Utilities:[]Sewer[]Septic Building Height:
>44-,I40,
119"W"00
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E-Mail; Phone No.1,9A. Y_
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: 44 Q( g)
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: of Applicable
Name: Name:
Address: Address:
City: State City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: of 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 thepermit holder to build the subject structure
which Is In conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrlct 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,wails,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
ignoture of Owner/Lessee/Agent SlgrAYurg of Contractor/Lice nse.Hol der
STATE OF FLORID STATE OF FLORID /
COUNTY OF T � �lP COUNTY OF
The for oing instru en was acknowledged before me The for oing instrur, was acknowledged before me
this,z day of__ . 20/_'by this day of 20 15'by
J e6 .
L�Y1�5--- j`"l In
(Name of person acknowledging) (Name of person acknowledging)
(Signatur f(votary Public-State of Florida) (Si ure of Notary Public-State of Florida)
Personally Known � OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced qWMAM
fication ProducedL
,� , SANDttAH NM „�,.,,,.
Commission No. ;;, Notary-Public• t6lo, -�i�""�°�I�seal}�$ANOpA HOItMAMIY
My Comm.Expir a Mut y Pu011e-State of Ftq a
N •Y-�= ,• r=My Comm.Expires Mar s
TltroupRWsliosvss on M FF 07ied
Revised 07/15/2014 QondeaTlrp
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REVIEWS FRONT ' ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE