HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE IN 0 MUST)BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: aco I I rnPermit Number: (2, 1
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
230 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1S53 Fax:(772)462-1578 Commercial Residential
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Address:
Legal Description, )auJ)n;4t - z
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Property Tax 10 -boo 0 00 Lot No.
Site Plan Name:
I Aaa C) Block No.
Project Name:
Setbacks Front_ Back: Right Side: Left Side;
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60 app Y.,
Shutters 0 Windows/Doors
Generator Roof
Total Sq.Ft of Construction- SQ. Ft-of First Floor;
Cost of Construction:$ Utilities:newer LJSeptic Building Height:
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Name, Oe- Pfwnn
Company: �- \41y)
Address:
city: -PAU/A,C I�-!i statel
ZIP Code: 5 9 11 Fax: - 72 1-
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a e or qpunty License,
mmencement is requirea.—I
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02/26/2016 11:47 7727811307 FLYNNS AC
PAGE 02
`. � Not ApplicableDESIGNER/ENGINEER:
Not Appiicabte MORTGAGE COMPANY:
Name: Address:
Address: Cit State:
City: State: Y�
Zip: _ _ _Phane Zip: Phone:
FEE SIMPLE TiTLE HOLDER: _tot 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 Nome 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 1 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. if you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
azure of C er/Lessee/q Si ure of C ractor/License Holder S
STATE OF FLORIDA
COUNTY OF STATE OF FLORIDA
(V�L��r•,.1
COUNTY OF a1\`�}`
Thefor oing instrument Was acknowledged�efore me The forgoing instrument was acknowledged before me
this day Of 20
Lby this�day of�.Q...k� .zo -L(o-by
(Name of person acknowiedging 4 t' J O yy�
q (Name of pers n acknowledging)
(Signature of Notary p �c-State of Florida)
Personally Known
SIN Signature of Notary Pu ic-State of Florida}
OR produced! �'� C+
Type of identification Produced _ Personally Known lX- OR Produc
Type of Identification Produced
Commission No. �ah � �6 ,Ott`"`
Commission No, gSf* 1
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW SUPERVISOR PLANS VEGETATION SEA TURTLE
DATE REVIEW REVIEW REVIEW MANGROVE
COMPLETE REVIEW REVIEW
INITIALS