HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO 13E ACCEPTED
Date:
Permit Number:
Building permit Application
Planning Ono Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 4.62-1575
Commercial Residential �V/
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address.cid ( ,�
Legg] E?eser ion: C2_
Property Tax ID #: q G Q — Lal IVa._ ��
Site Plan Na e; Black No. _
Project Name:
Setbacks Font Back: Right Side: Left Side:
DETAILED ,DESCRIPTION OF WORK:
p/Qce S0 qAltoi ef_c f c L.-5c_x_rkw._r- rr
CONSTRUJ ftlON INFORMATION:
Additional worR toe eih:iirnea un er t is permit— Checc a app y:
HVAC _ Gas Tank Gas Piping _ Shutters
— Electric Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction; $ SS "'
OWNER%LESSEE:
Name—RRA 2 LLC
Generator
S Ft. of First Floor: _
Utilities:OSewer Septic
Address: 3S'os'
City: JakLW+)rN State:
Zip Code: 3yaq ( Fax:
Phone No.
E -Mail:
Fill in fee simple "title Holder on next Page ( if different
from the Owner listed above)
CONTRACTOR.
Name:�seDh U
lt Windows/Doors
n
Lel Roof
Building Height:
Company: C7eneSLis�lilrKbino Serr�c,S
Address: lba, 5c to1+6 ve-
City: art st, t,tict-CState: VL
Zip Code: 19 q!5 -z Fax:
Phone No.'7? ;?7- 3�,IZ
E -Mail: Ger1e.5t's pl]r ori Sec tt� �eS m Cjrr� T
State or County License; s`. 2
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: MORTGAGE COMPANY: Not Applicable
Address; Name: `
City: Address:
State: City:
Zip: Phone: State:
Zip: Phone;
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:
Name: �` �NotApplicable
Address: Name:
City: Address:
Zip: City: Phone: ZiP:. Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
wnc fmatanaifis sscpermit
to irulaawsrapcvstbatthhh Lucie ionctwih yPplcabe Hoe Oat wners
Aoilesbylothe
doenantthat ry the pstructure h
structure. Please consult with your Horne 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, perforin 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
commencin work or recordin our Notice of Commencement.
€gnature of Owner/
Contractor
STATE OF FLORIDA,
COUNTY OF STATE OF FLORIDA
S'}_ _ c •` _ COUNTY OF /i
The forgoing instrument was acknowledged before me The for
this -.kZday of Dr i 20 tkby this
I
r�
(Nam son g=gi (Name
instrument was acknowledged before me
Of r 20 by
1. /1- XV/1
5PnaC&dQVR d4ine 1
OR Produced Identification , Personally Known , OR Produced identification
iced ype h ett4i tion Produced
omniissio No. (Seal)
— 1
Revised 7/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
Commission No. (Seal)
SUPERVISOR PLANS VEGETATION SEA TURTLE
REVIEW REVIEW REVIEW REVIEW
MANGROVE
REVIEW