HomeMy WebLinkAboutBuilding Permit Application ALL 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 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Window/door
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Address: 4doo Int AVIA Apt-137- F+.Plerce,FL 34949
Legal Description: Ty- ncr trP Coy-e_ clunes t mid 1�2
PropertyTax lD#: 1423-502-0007-000-2. Lot No.
Site Plan Name: Treasure Cove Dunes Block No.
Project Name: N(o[nione Rosi r1CP
Setbacks Front Back: Right Side: Left Side:
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Furnish and Install Impact window
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Additional work toe e orme un er t rs permit—c ec a appy:
HVAC 13 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ �►000 co Utilities Sewer Septic Building Height;
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Name
Name 7-lAfIV44 ✓. c'•c «,e cwa
Name:
Address:ylyci /V 4-1,,4 y Company:_`rnr_ C-�1(� 3 tiro SS1 Y-x
City:FT. 4Ld0pL6- State:F- Address: 35'10 SE bj)(jC -N W4
Zip Code-;ay E! C! Fax: City:__ f- �:W{1 Y I- —State: 1--L
Phone No.-I-
2,-1_���g-���'SY Zip Code:_-4991 Fax: 2P10-CY461
E-Mail✓sa �le��s� �I.t>'���f�idt �� r` Phone No. -777- - Z$b•0459
Fill in fee simple Title Holder on next page(if different E-Mail: pCrmi t5 Q lass nroscD@ a-10-f I corn
from the Owner listed above) State or County License: 1936-3
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
"RE
DESIGN
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M
ER/ENGINEER: Not applicable MORTGAGE COMPANY: T Not Applicable
Name: Name:
Address: Address:. State:
City: State: City:
T1 p: 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 Couny,makes;no representation that:is granting a permit will authorize the permit holder to build the subject structure
which is in conflict ct with any applicable Home 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.
Inconsideration 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. If you intend to obtain financing,consult with lender or an attorney before
commencin work or recording your Notice of Commencement.
tA
S
Signature of Owne
"If Lessee/Agent Signature-o—f-C,6ht!actjr/Lidense Holder
STATE OF FLOMA
STATE OF FLORIDA
COUNTY OF COUNTY OF ny'li
The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this_6 day of 20 -Lby this 1-8 day of �k ine 20 \kp by
of persoUckn (Name of person acknowledging)
I
t
Wign ure of Notary Publjl-Stitof Florida) (Signatu of Notary Public-State of Florida)
Ol
Po 9 ally Known OType of Identification Produced
u's-ed Identifica Personally Known V/ OR Produced Identification
Type of Identification Produce
Commission N 1(ggWl)MEJIA Co I KELLY WIDMAN
Notary Public-State of Florida 111011111fl!Public-State of y Comm.Expires Oct 11,2016
Commission
Commission#EE 842817 MY Comm,Expires Oct 20,2019
Revised 07115 a — — — — — — — Bondedthrougli National Notary Assn
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
Florida-e
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1 201 9
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COUNTER REVIEW REVIEW. REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS