No preview available
HomeMy WebLinkAbout Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Buiiding and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 / Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential PERMIT APPLICATION FOR: i Address:12( j 'PQSO'(Zp7�e5 Legal Description: CM P 13�olt�l)f Qr11�3- 21Au) _ Property Tax I D#: 1-501–Ct l I–OUC71–00th-O Lot No.�__ Site Plan Name: I'�(} Block No. I03 K Project Name:_Lee �'t-,f Setbacks Front Back: Right Side: Left Side: rn��all like Fri 1�lco aLtraoQ GADO!' Additional work to be performed under tis permit-check all that appy: _Mechanical _Gas Tank _Gas Piping _Shutters ✓Windows/Doors Electric _Plumbing 4 Sprinklers _Generator _Roof Total Sq.Ft of Construction: Sq.Ft.of First Floor: Cost of Construction:$ 4x70.00 Utilities: _Sewer _Septic Building Height: Name r YQr1 Name:_ ' i�Qu�11r}(� Pied spa.. Address: 2UrJ Company: (r01 L ergs, c &,"J 1h,• City: Forl-Pif ; State:F1I Address: 005 7omahac i1t Di Zip Code:]( Fax: A4 I City: Indian PA'brx„ State: F1 Phone No. (40))aLIA-10DILk Zip Code: 32937 Fax: 321-717 yZ3c! E-Mail: &VA Phone No. 772-337-,/y70 Fill in fee simple Title Holder on next page(if different E-Mail: Lu s5 aun iKtiny. n from the Owner listed above) State or County License: If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. SUpplE E"-TALgCONSTRUCTI0N LIEN LAW INFORMATION: 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: Name: Address: Address: LZi'tp�� : City: Phone: Zip: Phone: 6 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 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 m accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments. The failowing building perm€t 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 commencina work or recordin our Notice of Commencement. _ 49 1_ _Signature of Owner/Lessee/Agent Signature of ontractor/License Holder i STATE OF FLO` A STATE OF FLORIDA COUNTY OF .v ar-d COUNTY OF 03-_\1 The for Ding instrument was acknowledged before me The forgoing instrument was acknowledged before me this:da !r 20 I P by this1 20 �by WMCA h f rs cjeno ed ing) am o ac wed ' g) g ur ublj ate of Florida} IS' na r f lic ate of Florida) �% ers Know R Produced Identification P o y Knowya bR Produced identification e o Pro uced Pryduced 6ROOKESZIOETI R�OKES7JGET1 comma �+}LP eagyCOMMI5S10NrFF Co 7rtissio�in � jd$S1QNpFF24165 °• EXPIRES:Jura 25,201 s EXPrRES'Juno 25,2419 y„x„•' Barcbd ThNNa ary Pabg +� !Wary Pubkilroennnm Rei ised 07115/2014 FIREVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW RLViEW REVIEW DATE f COMPLETE INITIALS P y ymy 6 m m � OMi d u m m pQy � � 0 � y _ V OR. ■ Z m � z �poMn m3 1 m rn O O CL n O N O _ C D m C l7 ILf 4id u �7 Dv o. °1C1 T rn 'C • a 1 N f 's 0 ~ O 6 $ s A Z �� N Sn = Y a 3� ? WO j ?m V l p M > �Oxm ca N�O 3 m m o — a Z y o d d Tyr N Q C S F p co � y � w _ O J y + y N N O C O a Q O O a p p Z O A 0 0 0 4 0 jD O O a O OQ O O O O O O 4. 6 4 0 0 0 0 © a 4 R N C 2 2 Z 2 Z Z Z Z Z Z Z Z 2 Z m „ d aim spa � o�