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HomeMy WebLinkAboutBuilding Permit Application a ALL APPLICABL ,INIIO MUS BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: f.�. _.� -_ o _._. 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 PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LQCATION: Address: D� � i - D��. �'✓ ��� 3 y cl S� Legal Description: 1_/270, y -- Property Tax ID#: 0 O 412 - 6 c73/_7 Lot No. _®� Site Plan Name: L)/ZS/AJ?S Block No. 3 Project Name: l� L• N U i25 iXj Lam- P d D r?--s �Aetbacks Front Back: Right Side: Left Side: r DETAILED DESCRIPTION:OF 1NORK , L �oD Grc���j:r ��p %af! [s•�l.r�r1�S ���rP4' CONSTRU'CTION'INFO.RMATION. 'Additionalwork to'be nerformed un er t is permit-c eck a appy: 11HVAC Gas Tank as Piping _Shutters ©Windows/Doors ElectriIj c Plumbing Sprinklers El Generator 0 Roof Total Sq. Ft of Construction: S . Ft.of First Floor: Cost of Construction:$������� Utilities:�Sewer OSeptic Building Height: Q.WNER/LESSEE CONTRACTOR Name ED-u N ,pA'TZ4C_ PA 6 r Name: •fib Q --TU-M-A 0 O ill• Address: ©LE*-,i NDfC Company: :!:CeN6 i 1.1,`1'- L3 9 C Z>)Z,2g City: ��L State:--'L Address:A l7 Q U'E!e 0 �--tZO C`r Zip Code: 3�Q SZ Fax: IJ )cY �, City: 1 State:i Phone No. 7 �s - L/ D D Zip Code: 2 q 114� Fax: k E-Mail: /U ( /t- Phone No. 33Z" A'L Fill in fee simple Title Holder on next page(if different E-Mail: {��C� I Or Y4,N-oy, Co M from the Owner listed above) State or County License: C� c N-2.,5-8 5 3 2- L-c-— ZCo g ZCO If value of construction is$2500 or more,•a RECORDED Notice of Commencement is required. ''SUPPLEMENTAL CONSTRUCTION L -N LAW INFORMATION DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY• of Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDE _ of Applicable BONDING COMPANY• _PfofApplicable 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 firs ction. If you intend to obtain financing, consult with lender or an attorney before commen ' wor or recording your Notice of Commencement. s —Sign ur of Own Lessee ent S' re of actor cerise Holder STAT F FL IDA `/ / STATE LORIDA COU �7"d //�l,G� COLIN OF —I The forgoing instrume2fwas ckn wledged before me The f rgoing instrument was acknowledged be me this. day of 20/(7-by this D-day of� ,20 by (Name of person acknowledging) (Name of person acknowledging) 1 u V \IJ (SiinaturkDf Notary Public-State of Florida) (Signature of N ry Public-St to of Florida Personally Knowny OR Produced Identification P sonally Known p �#' uce i' Type of Identification Produced -- T e of Identification Pr sl �'• ANGELA Hurt MARYANN MAR •6 c-state of F Commission No. i SM ry Public-State o1 Flodid �;� •. Co m1sa� lo►lda. •`"�;"' mission No. �'F �?°••' My crJ 'F�*FF 234730 • ; My�C mm.Expires Dec 29, 0 """ Bonded throe plies May 27,2019 Commission#+ff 07994 9h Nations Not •uuu� YAssn Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS