Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BECOMPLET { ,. TCS BE ACCEPTi . Lucie County Date:- Perm QMh AUG 3 Q 2096 DATE:_ FL I LQ PERL41TTING Approved by: CSC; BuilAingi�"e # A NF 81WABLE ATTAINABLE -Planning and Development Services WORKFORCE HOUSING _I 9 I I�,{ Building and Code Regulation Division M� �d9 Q 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Roof PRQPQSE© {NC!?RQVEME�{T LQCATIQ�N _ O �.r. �� . . ►� cmc e- t . �l Legal Description: °`\fes 1e� b C� a Property Tax ID#: Jc/® - 20 3 - �© LQ O Lot t�No_�� r Q Site'Pllan°'Name: VoclNo. 8 Project Name: SAS i-V_-'PeSe Setbacks Front Bask:. Right Side: Left Side:- DETAILED DESCRIP.TION,.QF WORK lZjc d1NC Gab 'Q_>6®-C QSZ p & tiu CONSTRUCTION INFORMATION r Ad bona;wort to aer or^m� un. _ er t is.permit-cliecR aj,j, aPp y, _. 1�`1vAC :Gas.Tan'k Gas--`P ip,in _Shutters 11indows/-D,00rs Electric 0 Plumbing 0 Sprinklers Generator Roof l2- Roof pitch Total Sq: Ft of Construction: o< S . Ft: of First:Floor.�� Dost Con -:of structron:' ' 11 R� Utilities: Sevier `Septic gui4clirig_Height: QW MER/LESSEE CONTRACTQR.` Name V V410K ` ' �� Name: Pki ekcio Ow-a k) Address: V3oZ �P,gfc I � �4,.V13 cQpr�.►: Go �s {fioe.�`� �A��ie,fci Co City: rORi t> _ State:_ Address: �-�•� �-�� ' - �� YZ Fax_ '� Crty: �� e . kk, Zip.Cocke. State.: Phone.No.: )4 2 -�Z_Z; b Z p•Code: 13 T153 Fax: )tek Fill in fee simple Title Holder on next page (if different E-Mail:® nrk& Aa4(5° from the Owner listed above) State or County License:C47,- 1 ��J®b 2.3 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SllRPLEMENTAL CQNSTRUCTIQN Ct;EN,LAW EtVFQRMATEON. DESIGNER/ENGMEER: _;Not Applicable -MORTGAGE-COMPANY.- _'Not Applicable Name: n Ntme: Address: i J Address: City. State. Cify: State: Zip: hone: Zip: one: FEEISINIPLE 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.t&the issuance of.a.permit. St.Lucie County makes no representation that is granting a permit will authorize thepermit 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 '1tIlARN'ING T0'O'WN,ER. Yourl211hyreto- cofrd.a Ndtice.of:C'omrrterrcem.ent,may result in your-paying twice for improvements to your property.A Notice of Commencernerit mustbe recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. W�� (�Q� a c3 d s Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OFF FLORI DA STATE-OF FLORIDA COUNTY OF COUNTY OF \ • �����. The forgoing instrument was acknowledged before me The forging instrument was acknowledged before me this ay of ��`��� 20 �by this 3& 3O day of 20 by (N am.e,of person;acknGwl edgi ng;)- (Name of persona cknowl edgi ng.) (Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida ) Personarry Known L-----OR Produced identification Personally Known (-'OR Prod'uced`rd'entification Type of Identification Produced Type of Identification Produced Commission No. T--- al) CAion No. �3 PAULETTE GLAIR-AL XwRAOER Notary Public-State f Florida ;IFb'i P PAULETTE GLAIR-ALEXAND Notary Public " 832 woo ss pia �.� c Commission N EE 832935 Revised 07/15/2014 "SOF My Comm.Expires Sep 6,2016 ,�•, �oi� My Comm.Expires Sep 6,201 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS