HomeMy WebLinkAboutBuilding Permit Application ALL APPL�BItEINFO MUST OF COMPLETED FOR APPLICATION TO •
Permit Number:
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Building PermitApplication
Planning and Development Services
Building• r Code Regulation Division
11 Virginia Avenue,Fort Pierce F!,34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
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Site Plan NanI Block No.
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■Gas Piping ■Shutters Windows/Doors
Electric Plumbing OSprinklers Elenerator 11 •..
Total . Ft . _ Sc . Floor:
Utilities.Cost of Construction: I1
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address.• Address:
City:_._ _ State: City: State:
Zip: Phone: Zip: Phone:
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.
5t.Lucie County makes no representation that is granting apermit will authorize the permit holder to build the subject structure
which Is In conflict with any applicable Home Owners Assoc[ation 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,waits,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 Commenceent must be recorded and posted on the jobsite
bef a the first inspection. if you 'ntend to obtain financi ,consult wit lender or an attorney before
com encin w din r Notice of Comment ent.
Signat re of ssee Sig cure o Co tra ce se Hold
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STAT OFF O STA E OF �A ,�; ;
COU O tea..;z...K, COU OF
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The'f eIng instr t w s acknowl ��� a The f oing in t w s acknowledged befo
this 7J day of this day o .20 ?0y °q,; ?`.�•`�
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(Name of p son acknowledgi g) w b (Name of per on acknowle ing
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ignature of N ry Public-state t�Fllgi�blj �+ nature ofary Public-State of Florida} v� ' 'trPersonally Known �_ OR Pro � tifc 'on Personally Known oR ProducQd Ident atlo wType of Identification Produced " Type of Identification Produced
Commission No. (Seal) Commission No.IPEM '3�t7 (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS