HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INTO MUST BE
Date: C? -% ' I�
COMPLETED FOR APPLICATION TO
BE ACCEPTED
Permit Number:
Building Permit Appl0
ication
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenge, Fort Pierce Ft 34982
Phone: (772) 462-1553 fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from d'ropbox, click arrow at the end of line
Address:. 0
Legal Description.
F4- 04(
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Corac
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Property Tax ID #; 26 � 70 'Co /9- - OCO -(2
Site Ryan Name: !"
Pr i Name:
Setbacks Front.back: (VA Right Side: NLeft Side: /V
K LysY
t04 C&„dl spy
.Lot No.�
Block No.
��on
i n5 SY�S�c�
0
Total Sq. Ft of Construction: _ :z t qS 1�
Cost of Construction: $ Zi 911)a -
. Ft. of First Floor.
utifiti'es. Sewer Septic
LlWindows Doors
Roof I Road pitch
Building Height:
L
B
certify that no work or installation has commenced prior to the issi ance of a permit.
Et. Lucie Count makes no repr�entatian that isgranting a permit will authorize the permit holder to build the sub'ect stricture
which i s i n aor��lict wit any applicable Fbme Owners�ssacaatian rul.es, bylawsor and aovenantsfh� may restrict 8r prohibit
structure. Please consult with your Home OwnersAssociation and review your deed for any restrickianswhich may apply.
In aonsderation of the granting of this requested permit, I do hereby agree that i will, in all respects, perform the work
ire accordance with the approved plan, the R orlda Bui I di ng Codes and St, Lucie CbUnty Arnendment a
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
acaesevey structures, swimming pools, fences, walls, signs, screen roams and aooessary uaesto another. non-residential use
WAFNINGTO OWNER Your failure to. Record a Notioe of Commencement may result i n your paying twice dor
imrovemenisto your property. A Notioeof Commencement must be recorded and posted ori thejo,bs�te
before
the ' 'inspect'inspection.nsp�vn. If you to obtain financing, o�nsult lender or an attorney before
cammeor�-record i nq your Notice of Commenoement. �.
own, er/ LesselCont rad or as Agent for Owner }(ajWCre of Contractor) Lj cen se Holder
STATE OFFLORIDR� p =�I�- COUNTYC
ODU NTY OF �1 W! s �P�
The fo . ing instr enf was acknowledged before me
this day of 20 by,
am of p so a o I -edging)
(Sgk*r� of of
bl io- Mate of Florida }
Personally Kn6wn ORProdu � Ide
Type of..I dentification Prod uoed
The forgoing instrument was acknowledged bOore me
thi� day of ��� , 2�f .� r by
FUblio- State of Florida)
Personal ly�nown ORP!-odu
Type of Identification Produaed�9
ire
Commis'sion No. -
h
- dAWS P�t���jFlorida]
Notary Public, �ate oFlorida
My comm. expires Nov.18
Cbmmission No. C����1AG�S
�* Notary Public, Site of Florida
mmissian# FF 17B6fi7
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_ My comm, eXpires i�ov. iS, 2Q1$Revised
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