Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO'MUST BE COMPLETED FOR`APPLICATION TO BE ACCEPTED ►Date: A�. a,y �. " Permit Number! RLCEI'.'^D JUN 2 4 2006 . 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: To Select from dropbox, click arrow at the end of line 11111111 11111111 112 X Address: cc /� -_ n Legal Description: `,QX)(�.�0� lour Y.i IQS -f��l�d Property Tax ID#: 3,501A —.1605 - 0047- 000 Lot No. Site Plan Name: Block No. Project Name: (�X1lJ� I a►.Y Shores Setbacks Front Back: Right Side: Left Side: 1 ^ PGT' 2C© SH (&-Q!f Additional work to be nertormed under this permit—check all appy: ❑HVAC Gas Tank Gas Piping _Shutters Windows/Doors Electric ❑ Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction:$ L414. I'1 Utilities:Sewer Septic Building Height: d a. -Name oir Vh OA Ar wo,Y u Name: Address: '7 1410 3.1()W 1 il)� �f l Company. City:.Z anskri cjk State: 1-L Address: Zip Code: 3 qol 7] Fax: City: ' 1 State. Phone No.� I 3 G 42f —002(e Zip Code: Fax: �� E-Mail: Phone — Leis Fill in fee simple Title Holder on next page (if different E-Mail: C i from the Owner listed above) State or County License: If value of construction is$2500 or,more,a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _Not Applicable. MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: 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 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 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. 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 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 commencingwork or recordingour Notice of Commencement. S _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORI STATE OF FLOR COUNTY OF �YY\ COUNTY OF Th in instr t was acknowled ore me =going instrument was ac<nowledg before me thtday of 20�Oy qday of 20 .--a. - - 24 CiLll� (Name of person acknowledging) (Name of'person acknowledging) L lJ nature of Notary 7. OR St a of Florida ) ignature of Notary Public-State of Florida ) Personally Known Produced Identification Personally Known OR Produced Identification Type of Identification Produced Q Type of Identification Produced Commission No. �S o (Seal) Commission No. F rC <ZSSI�,2 S (Seal) MEUSA ARMENTO MELISAARMENTO MY COMMISSION#EE 855825 '_'' RCV1SeC�07/15/2014. �• EXPIRES:December 22'11" 8 2016 �i'."_5 EXedThru December 28,2016 �"' Bonded Thru Notary Public Underwriters `' Bonded Thru Notary Public Undenttiters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE 7-- INITIALS