HomeMy WebLinkAboutBuilding Permit Application Jul 2815U91&m First Choice Plumbing 7728797860 p.1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
RECEIVED JUL 2 8 2015
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--1579 Commercial Residentia I
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Legal Description: rl-,%
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Ripht Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work to be neiformed under this permit—check all that.a ply:
Electric L,,c:j Plumbing OSprinklers Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$1 M_ CD Utilities:0Sewer nSeptic Building Height:
OWNERAESSEE: CONTRACTOR:
E-Mail: Phone No.
Fill in fee simple Title Holder an next page(if different 'v,
frorn the Owner listed above) State or County License-.Cj—�_ �j_�q
if value of construction is$2SOO or more,a RECORDED Notice of Commencement is required.
Jul 2815O012a First Choice Plumbing 7728797880 p.2
SUPPLEMENTAL CONSTRUCTION LIEN LAW INM MATION:
DESIGNER/ENGINEER: Not App) MORTGAGE COMPANY: Not Applicable--'
Name- Name:
Address: Address:
City: State: City:
Zip: Phone: Zip: Phone: state:
FEE SIMPLE TITLE��: Not Applicable BONDING COMPA. Not Applicable
Name: Narne:
Address: Address:
city. city:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Countv makes no representation that is granting a per milt will authorize the permit holder to build the subject structure
which is in conflict with anV applicable Home Owners Association rules,bylaws or and covenants that may strict or prohibit such
structure.Please consult with your liome Owners Association and review your deed for any restrictions wh�,`ch 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
.Wyour property.A Notice of Commencement must be recorded nd posted on the obs te
com r Me�fpin Ypection. if you intend to obtain financipg, consult with lender oran attorney before
JSAT
STATV0F FLORIDA E OF FLORID
ef o' g instrurnent acknowledgeqWore rn�e Theforgo g instrument was acknowledged before me
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(Name of person acknowledging) (Name of person acknowledging I
(Signature of 140 V ry Public-State of Flo�da (Signature of Nota f ublic-State of Florida
Personally Known OR Produced Identification Personally Known —OR Produced Identification
Type of Identificati Produced -1 e4Widentificati n Produced
MAN
NANCY LEE LAN;IFOR
Commission N ion NOSE
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RelAsed 07/1512014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
COMPLETE
INITIALS