HomeMy WebLinkAboutBuilding Permit ApplicationName:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
Crty:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or instanation has commenced prior to the issuance of a permit.
Not Applicable
State:
Not Applicable
St. Lucie Cou . makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in coiet with any applicable Home OwnersAssoaation 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 pians, the Rorida 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
m
improveents 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
comn;encing work or recording your Notice of (-ommP icPmPnt
_};. � • r --/Agent
STATE Of FLO
COUNTY OF
The foWing m knowle% fore me
MIS day of I 2Qy
(Na�rson acknowledging)
IJ
o . L S utt
(Signature of Notary yPu - State of Rorida )
Personally�uioi.
Type of Id AL A glll�lr�6O
'i My COMMISSION # FF904048
Commissi nw _ - EXPIRES July 3"agg
(40/)398-0'53 FI0rkZNMy3orvtce.corr
Revised 07/15/2014
teor/License Holder
STATE OF FLORID n
COUNTY OF i
'rheIng in admowledge� b!e'fore me
this ay of 20 I V by
(Name person acknowledging )
0 & (PI
(Signature of Notary Tic- S'Florida)
Personalty Known u v ti Tre&AcW,jllentrfication
Type of Identificat' ' P CRWIF"V
�' MY COMMISQ�1 FFECC
Commission No. 1 ' EXPIRES FJul
�4048
y� 53Y 31.220' 19
briaoNl �
REVIEWS FRONT} ZONING SUPERVISOR PLANS VEGETATION SEATURTLE I MANGROVE
COUNTER I REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 95 '.)IC5 • 1 Permit Number:
o
...........��.......... ......... d�lBuilding Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial de Residential
PERMIT APPLICATION FOR: Other
0
Address:��U
Legal Description: L!s�.4• ���k'p2�u�� ��-- �Aa'��JCD'�11�t d'1�� ��.i1-f.T ��.
Property Tax ID#: 3535.bU21•U139 D60 'T
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
l�
kg- Y- U I -e \I(, a q e ,��
ST0 KI '\I \10 r-, ir\) 1 -;�, EF,- r<
RIHVAC
11 Electric
J Gas Tank
11 Plumbing11
UGas Piping
Sprinklers
boaek-
LJ Shutters
11 Generator
Lot No.
Block No.
L4 rc-e- oaf
r�
L__J Windows/Doors
0 Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2500.00 Utilities: Sewer Septic Building Height:
Namet
®(�I�SZk�fill�1 4—G� r, Name: Kim Wilson
Address:'MO �ll^ Aham-- -* 1 ` D I Company: Premier Plumbing & Air LLC
City: t�t%JYl_7(' /1 �(� (/V I State:
r�Z� Address: 108 NE Dixie Hwy
Zip Code:3W6-7 Fax. �iC(J City: Stuart State; FL
Phone No. Zip Code: 34994 Fax: 772-692-1094
E -Mail: Phone No. 772-692-2500
Fill in fee simple Title Holder on next page ( if different E -Mail: preplbgac@gmail.com
from the Owner listed above) State or County License: 25222
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.