HomeMy WebLinkAboutBuilding Permit Application ALL • MUST SE COMPLETED roft APPLICATION • WE ACCEPtED
Date: �/ �♦
A PermitBuilding Application
Planning and Developmen t services
Building.;I r code Regulatlon Division
/I Wginia Avenue,Fort Pierce rL 34982
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Phone::(772)462-1553 Fax:(772)462-1572 Comrherdal Residen
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Project Name:v JMJ A7&AM6lam Q
Side:Setbackt Front Back: Right
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Elqctric Plumbing ElSpri'nklers Generator Roof
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11septic Building Height:
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DESIGNER/ENGINEER: _Not Applicable MOATGAGE COMPANY: Not Applicable
Name: Name:
Address,,-._ Address:
City: State: City: State;
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER. _.___.Not Applicable BONDING COMPANY: Not Applicable
Name: Name•
Address; .. ... Address:
city: City.
-
Zip: ' Phone' Zip: — phone
---
1 certify tl?at 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 thepbit ermit 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 prohisuch
structure_Piease 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 Twill,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The follow)ng building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimining pools,fences,walls,signs,screen rooms and accessory uses to another non-residentlal use f
WARNING TO OWNER;Your failure to Record a Notice of Commencement may result in your paying twice for
improve[nents tb youl"property.A Notice of Commencement must be recorded and posted on the job#e
before the first inspection. if you intend to obtain financing,consult with lender or an attorney before;
commencin work or record" ur Notice of Commencement.
Signature Of Owner/Agen/Lessee Signature of Contractor./License Aolder
STATE OF.FLORIDA STATE OF FLORIDA A
COUNTYOF COUNTY OF !�
.The (ng inst t acknowledged before me ThMing inst acknowledged before me
thlday of 20 14 by thiday of 2D__L4 by
j
(Name of p . s acknowle ging) (Name of irson acknowledging)
I
(Signature of NotaryPu c-State rida) (Signature ota7PUlafctate lorida)
onall !
Per C
s y, down OR Produced Identification ' Personally Known�OR Produced Identification
Type of Iddntification Produced Type of Identification Produced
Commission CRYSTAL MARIE n No_ al)
�•• x
MY COMMISSION EE1,874a8 CRYBTlIL1NARiE O
_ EXPIRESJune 25,2016 _� .*� MY COMMISSIQ
Revised07/15/2UL4 laa''eeeA�ss fia+e�i eon, EXPIPMJ(rne25.2o .
sav Fbi�N moi*
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANdROVE
COUNTER REVIEW REVIEW REVIEWREVIEW REVIEW REUI
DATE
COMPLETE:
INITIALS
60/60 39dd ZIId HSd39 N3SN3f GEL5E9EZLL 9b:10 ZZOZ/91/90