HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED D
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Building Permit Application AUG ®9 20%
Planning and Development Services
Building and Code Regulation Division /
2300 Virginia Avenue,Fort Pierce FL 34982 Residential
Phone:(772)462-1553 Fax:(772)462-1578 Commercial
PERMIT APPLICATION FOR:
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FROPaSED IMPROVEMENT LO77 BATIONkl
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Legal Description:
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Property Tax I,D#:
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Block No.
Site Plan Name:
Project Name:
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CONSTRUCTION INFORIViAT1aN
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HVAC' Gas Tank ❑Gas Piping
LJ Shutters a Windows/Doors
El �S rinklers Generator Roof
❑Electric Plumb/ing P
Total Sq.Ft of Construction: /3m® S .Ft.of First Floor:
Cost of Construction:$
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Utilities. Septic Building Height:
:.. �: . CONTRACTOR
01N�IERf LESSEE:
Name s� -r- Name:
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Address: // o
State: Address:
City: City:i
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Zip Code: � Fax.
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E-Mail: Phone NO.
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from the owner listed above)
State or County License: � 2 v
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: I 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.
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St.Lucie County makes norepresentation 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 followlingl 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
commencigg work orrecording your Notice of Commencement.
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY O
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acknowledged befc,
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this day of 20� b) this 7 day of 6&.1—C, �20 by
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Personally K6own—OR Produced Identification Personally Known y OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. "(Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS