HomeMy WebLinkAboutBuilding Permit Application ALL APP BLE I FO MUST Of COMPLETED FOR APPLICATIONTO BE ACCEPTED
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F E n K t Et Fs.
Building'Permit Application
Planning t t Development S-Building . • Code Regulation Division
/. Virginia Avenue,Fort Pierce FL 34982
Phone: +. Commercial Residential
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Cost of Construction: �
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If value of construellion Is
00$25or more, Notice of Commencement Is required.
DESIGNER ENGINEER: Not Applicable' MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: _ _ State'.
Zip: Phone: _ Zip: Phbne:
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-residentlal use
WARNING TO OWNER,Your failure to Record a Notice of Commencement may result in your paying twice for
imp ovements to your property.A Notice of Commence ent must be recorded and posted on the jobsite
befcke the first inspection. If you 'ntend to obtain financi , consult wit lender or an attorney before
comMencing w din r Notice of Comment ent.
xa=k�g
signat re of e s ee Sig Lure o Co tra ce se Hold
STAT• OF F O STA E OF O
COU Q COU OF t
The for oing Instr ent was ackpowledged before me The forgoing ins ment was ac nowledged before me
this day of )r- 20�by this—T day of 20-'1Sy
_ ` � 1 F.
(Name of per on acknowled i g) (Name of per# n acknowledging
gnature o No ry Public-State of Florida) ;Kaiture-&f N'otA Public-State of Florida )
a
%-4.N
Personally Known "".. R Produced7enPersonally Known i 4 Prodt fiN t t US$ELL
JfRAType of Identlf{ca rType of Identifica Notary uida Y "'`� ` e° orlaa
C°tn,h.Exf'es tfl'2Z"-2017
Commission No. 9 am' 17 Commission No. g s #e8392
IS
Revised 07/15/2414
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS