HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34,982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential V
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVE=MENT LOCATION:.
Address: 35 b
Legal C escriltion:Z$ a5-38, Tbd+ pc 1tF rIq mpricf : i; -Ana kC r„r ,p CC i.0 ..c ce-
Property Tax ID #:
Site Plan Name:
Project Name:_
Setbacks Front
F
EMPARM6 NI�T►�ii�
Back:
DETAILED DESCR TION OF—WORK:
!n +aA ne shower Voj
CONSTRUCTION
HVAC 1
Electric n
f
Total Sq. Ft of Constr
Cost of Construction:
OWNER/LESSEE:
Name
Address 90( $rbc
MRIVIATION:
=r orme un er t is I
Gas Tank D
Plumbing
on:
rrn
FA
Right Side: Left Side:
Lot No. -
Bio cki
o.Bjocki No.
, v ir\� � Pin , art cX 3c++P-a +ub ; n
K- Uriecx aai appiy:
Piping _ Shutters
nklers F Generator
_ S Ft. of First Floor: _
Utilities:U Sewer 0 Septic
City: PI C (-(, L State: L
Zip Cod, `'Y� Fax:
Phoneo.
E -Mail:
Fill in fesimple Title iHolder on text page( if different
frar€i tFa Owner listed above)
windows/Doors
L;I Roof
Building Height:
CONTRACTOR:
Name;DV) UltV
Company: G e ti is um& ea,us-Mn,.
Address: 08a. Sc tots,j. .
city; r-� 1&t'LtJcit State: fU
Zip Code: M 9!5 -Z Fax: - r , C7
Phone No. '71- 3 7 - 36627,.
E -Mail: ��rtesis`�l� rib 5ec�d� c e� i�f Q it
State or County License: G�
If value I construction is $2500 or more, a RECORDED Notice of Commencement is required.
SU"'.EMENTAL CONSTRUCTION LIEN LAWINFORMATION:
DES#G Elt/Ef�#G#NEER: Not Applicable
Name: MORTGAGE COMPANY: Not Applicable
Naive:
Address:
State: City:
Zip: Phone: State:
— — Zip: Phone:
FEE Si PLE 'TITLE HOLDER: Not Applicable BONDING COMPANY:
Name; Name:
Not Applicable
Addres :
City: Address:
City:
Zip: f Phone: Zip: . Phone:
I certifyl hat 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 i conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Ptease 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, 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,
accessd structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
iIVARNI G 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
comrnencinE work or recording your Notice Of Commencement.
of Owner/
STATE OF FLORIDA,
COUNTY OF _ 5'7. v :'
The forgoing instrument was acknowledged before me
this `i' day ofby
k—��vt(
(Dame
Personally Known OR Produced Identification
Ty�pe79f deffy"i i ii'Pradaced
Commission No. (Seal)
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF _,�
The forgoing instrument was acknowledged before me
this-2tdayof r % 20 64 by
(Name
Personally Known I OR Produced sle'ntifh
ype tion Produced
Commission No. (Seal)
REVIEWS
CARTE
COMPLETE
INITIALS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW