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HomeMy WebLinkAboutBuilding Permit Application..— ---- — -----, •-�. �.vsrer is_ I r!! r%Jr4 HrYL1LA I1UN IU HE ACCEPTED Date: Permit Number: Building Permit ,& Planning and Qevsloprnent Services Building and Lode Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34382 Phone: (772) 462-1553 Pax: (772) 462-1578 Commercial - Residential _ PERMIT APPLICATION FOR: TO Select from dropbox, click arrow at the end of lime PROPOSED /IMPROVEMENT LOCATIGN: Address: .��, i L f c'c ri Sa ►rL T r• Legal Description: PropertvTaxlD#: 3CII- --7Q(d — Lot No. Site Pian Name: Project Marne: Block No. Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION QF -WORK: e.,C�c- CONSTRUCTION INFORMATION: A itiana w©r to be errorme un er t is permit — c or a t LJ HVAC LJ Gas Tank 11 Electric ;g__lumbing Gas Piping _Shutters alae Y: Sprinklers ❑ Generator Total Sq. Ft of ConstruOt. on: SQ. fit. of First Floor: _ Cost of Construction: $ Utilities: `Sewer 11 Septic OWNER/LESSEE: Name Address 4-722— 4C rt a City: (Jut- �Ut State: rt_ Zip Cod Fax: Phone Io. E -Mail - Fitt in fee simple Title Holder on next Mage if different from the ®wryer lister! above) oWindows/Doors F Roof Building Height: CONTRACTOR.- Name: ONTRACTOR.Nan ie: P.D, � ! l U ty Company: Ge, 51 tIrAbi" ; Addresstt: �8a 5C City. Us i I ,J GtP_ State. Zip Code: S Fax -.M-33 " D U 0 Phone No. _1'7 1.3 P-7 3�,SZ. E -Mail: �er SiS �utrtibt (4diG�10,1 M 0rA State or County license:+� [ If value of construction is $500 or mare, a RECoiipEil iNotice of C©mmencement is required. SUPPLEMENTAL CONSTRUCTION- LIEN -LAW INFORMATION- €4�`�€P�fZr�d Icai GINEER: Name: Address: City: Zip: Phone: FEE SIRAPLE TITLE HOLDER: Name: Address: City: Zip: Phone_ _,,,_Not Applica State: Not Applicable MORTGAGE COMPANY Name: Address. City: ZiP: — Phone: BONDING COMPANY: Name: Address_ City: Zip: . Phone: Not Applicable State: —Not Applicable 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 conilict 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, 1 do hereby agree that I will, in accordance with the approved plans, the Florida Building Coin all respects, perform the work des 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 fender or an attorney before commencin work or recordin our Notice of Commencement. (`signature of Owner/ STATE OF FLORIDA, COUNTY DF 1- C c The forgoing instrument was acknowledged before me this I L4day of i�c. fid-[ P 20 L& by Personally Knowi-s OR Produced Identification TYPE ;tom"i�rodueed Commission No. {5ea!) Revised 07115f2014 REVIEWS FRONT ZONJ G SUPERVISOR T^ COUNTER REVIEW REVIEW COMPLETE INITIALS re of Contractor STATE OF FLORIDA COiJN T`f CSF S'l e t The forgoing instrument was acknowledged before me this _2 Y day of &-�Th-cfi 20 tl� by c3 (Name ry Personally Known",, OR 'Produced ldenti�ication ype citation Produced Commission No. (Sea]) FSEA PIANS VEGETAT1t�iV TURTLE MANGROVE REVIEW REVIEW RVIEW REVIEW