HomeMy WebLinkAboutBuilding Permit Application Nov 1O1511:O1a Honest Air, Inc,. 772-282'1118 p.1
ALL APPLICABLE INFO MUST BE COMPLETED fOR APPLICATION TO BE ACCEPTED
Date:\% Permit Number:
Building Permit Application
Building and Code Regulation Division
2300 VirgWo Avenue,Fort Pierce FL 34992
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residenfial
PERMIT APPLICATION FOR: To Selectfrom dropbox, cli ck arrow at the end of line
PROPOSED-IMPROVEMENT LOCATIOW.,
Legal Description: 04,1
Lot No.
Property Tax I D
Project Name:
Setbacks Front Back: Right Side* Left Side:
DETAILED-DESCRIPTION OF WORK: '.
Additional work to be–Defformed u—nd—er t s perm ec a apply:
Electric F�Plumbing 0 Sprinklers Generator Filloof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction.$ Utilities: Sewer Septic Building Height:
Name Name:
Company: bur .
State:F
Zip Code: Fax: City: t�n (�,r<l State: )C&
lqqp
Phone No. Zip Code:
94t) Fax:
Fill in fee simple Title'Holder on next page(if different E-Mail: 418
from the Owner listed above) State or County License: c;t06/2
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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Nov 101511:01a Honest Air, Inc. 772-232-1118 p.2
-SU.PPLEMENTAL'-CONSTRUCTlC)N LAEN..!AW INFORMATION:
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.
St.Lucie County makes no representation that is granting a permit will authorize theermit holder to build the subject structure
which is in conflict with anyapplicable Home Owners Association rules,bylaws or and covenants that may restrict or prbhibitsuch
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 first inspection. I#you intend to obtain financing,consult with lend r or an attorney before
commencing work or rd nihour Notice of mencement.
_Signature of Owner/Lessee/Agent Signature of Contractor/iicens r
STATE OF!FLORIDA STATE OF FLORIDA
COUNTY OF �1 ".rtsl� COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Ib day of 3&J6/utF{W. 2fl by this AD day of I-jr &A 20 Z by
(Name of person ackn dging) (Name of person ackno g)
(Signature of Notary Publi State of Porida) (Signature of Notary Pu c-State of Flo ' a )
Personally Known X OR Produced Identification Personally Known QR Produced Identification
Type of identification Produced Type of identification Produce ..,.
CHRIS WOODSERRY
Commission No. I X k r-.AU4n#FF908943 Commission No. sio:i#FF908M
'> 1;
pill August 12,2019
I
�.= Exom August 12,2019
'a 'nr •drmurney=+inMnc•B�P,?a5-int9
-Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLEMANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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