Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationDate: r = Permit number: Building Permit A tig-atinn Piannind and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34352 Phone: (772) 462--1553 Fax: 1772) 462-1578 Commercial ^ Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow a# the end of lute PROPOSE©fMPR01f1i1lT ttCrT109V: Addr�s�. Legal Description: 0D3 Property Tax ID #: 3 `5 o;?,`J -0 o - Lot no. Site Plan Name: Project Warne: Bleck No. Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF -WORK RcPtkc-e- q0 30-06V\ s L waft r 1�ece-der-. CO ST,RUCION INFORMATION: A nnrona war, to e�ej rrorme un er t rs permrt - CfieCK alf tt app y_ LIHVAC t i Gas Tank E]Gas Piping L�{Shutters Electric X-rlumbing Sprinklers Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $S Utilities: Sewer Septic OWNER/LESSEE: . Name aYtk, n i no Address; 83 villiGun Cir City: r �'� e Stater Zip code: 9 q 6[ Fax.- Phone ax:Phone no. E -Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) OWindows/Doors !�I Rif Builging height: CONTRACTOR: Name: f. -4 U V Company: G e s tirn4 Address:_&a SC BOJ4-d,� Zip Code: Phone No. 17 E -Mail: Gen esesPIVr,-b6ixft State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required- State: 5L r135- Q. .SUPPLEMENTAL: CONST RUCTIQN LIEN INFORMATION.- DESIGNER f Ewull1EER: Not Applicable !Name_ MORTGAGE COMPANY, Not Applicabie Address: Name: City: Address: State: dip: Phane. City: State: ZIP: Phone: EEE SifVIE'LE ''(TLE I'QLfJER: Not Applicable BOt51Di111G COMPANY: Name: ,Not Applicable Address: !Name: City: Address: City: Zip:. Phone: Zip: _ Phane_. 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 thepermitholder to build the subject structure which is in conilice with any applicable Horne Owners Association rules, bylaws or an covenants that may restrict or prohibit such structure_ Please consult with your Home Owners Association and review your deed for any restrictions whl_h 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 on -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 before the first inspection. If you intend to obtain financing, consult with lender or an attorney befon the ore site Commencing work or recordinkyqjjr Notice of Corrlmencement. !Signature of Owner/ Contractor STATE OF FLORIDA. STATE �F FLORIDA C ?UNITY QI= L COUNTY The fcjrgoing instrument was acknowledged before me this 340 day of`4 20 by 7V t (Name Personally Known. OR Produced identification YPp Produced Commission No_ (5eal) Revised 0711512014 REVIEWS I FRONT ZONING COUNTER REVIEW DATE COMPLE T E INITIALS The forgoing instrument was acknowledged before me this 34 day of(l s� 24 by (Name M Personally Known ,,. _ OR Produced Identification YRe a motion Produced Commission No. (Seal) I SUPERVISOR PLAINS VEGETATI011,11 SFA URTLE REVIEW REVIEW REVIEW RPt IFIA/ MANGROVE REVIEW