HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: Zf
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial v" Residential
PERMIT APPLICATION FOR: IC
PROPOSED IMPROVEMENT LOCATION:
Address: U ep-�- nbee_ 4,1\a
Legal Description: no -, /e
G�
Property Tax ID#: Li Lot No.
Site Plan Name: Block No.
Project Name:—
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION-OF WORK:
CONSTRUCTION INFORMATION:
Additional work tobe nerformed under this permit-check all that apply:
F]HVAC E]Gas Tank ❑Gas Piping Shutters F]Windows/Doors
rr-1 -
MElectric F� Plumbing OSprinklers ElGenerator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: SFt of First Floor:
ga�255—,
Cost of Construction:$ Utilities:1n Sewer R Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
C—
s: MVl Company: 77 t
City n tate:
Address: 42D VV'.,
Zip Code:Gzs Fax: City: L IC")3)1=\'A�� Stater!-
Phone No. Zip Code: Fax: 6d-`S3 --3'1'1 J
E-Mail: Phone No. ,L�) '353
Fill in fee simple Title Holder on next page(if different E-Mail:
from the 6 'Fisted above) State or County lLicense:J;EC Fico gam'�
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
11/15/2016 14:09 7724626448 SLC- CODE COMP PAGE 01/01GODFR>=`(' ELECTRIC PAGE 0101
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d E '/06110Ellt: ,,._Not Appllcalale MORTGAZE COMPANY,- riot ApPlicarble
Dame: Nantez
Address; Address:
CRY. State: City, $State,.
Zips: Phone.- Zip`; PharteF
FEE SIMPLE TM HOLDER: Not Applicable BONDM CtGiMPAli .- ,,,_,Not Appraable
Name: i,+rante•
Address:_ Addrns:
phone: Zip:
I certif}j that no umrk or inmilatta fres a:rrnmenced prior to the i.4suanm of a pertnlL
S.Lucie Cuuri�y makes na�rrep o that is gm0rr�0p �trlit D authorizer th p tit holder to build the bet smr�tetr,e�
ich to th ccs lct vPfith�teuYi jol tr ,Mo a Cwn�:as xa�an ru�,bylaws or a couenlimp t Jntay Test` ar p hrk�rt swc
ano tumpt�easeoonau r` wnersAssadmMonand :�feauyourdeadforon}+rnatlP ns ich
in cons;c oution of the granting ofthis requested permit.t do hQn6y agree that 1 wilk m all mspeds,perform the walk
in accordance with the approved plans,the Mor lda Building 0004 Arid 8t.Lucie CbuntV Arftridineft
U e following buildirle permit applications aro sltgmpt from ocrdergcing a Moll concurrency redrew;room addRiom,
accessory strucWmsr swimming Rants,fends,walls,signs,scr w morns and accessory 4sms to wr0er non-residemial rye
WARNING TO QWN£R:Your t'airlueaa to ReCmO 8 WON Cif CCiWirrAirommrerlt MW`watt 10 Vtrurr paying twkP far
Im r4Vernell s to your pmperry.A Notdce of Cornmenaemem muss"foe recorded and prated on the Jobsite
b, re the first inspection,if your intend to obtain firisncing,consuit"h lender or an attorney'burrs
nom yin avot dr`era 'n aur NQticre 0f Commericement,
e taf QW+a ckr� gent ftr own gn rin r titer` i Loi
STATE OF
hFLORID STATE OF CFLQ
; �ffC�.oCO TYdi WILINTX
Tire ,�Ing In tit acknowled before me 'rho Forgaing instru eor as seirnowledged byre rttN
this 7Fday of =��� � � this�day a#��20 1(#--by
(Name of PQ son actcn+swlodging) (Name of person acknowledging&A ule"
Y
igmra of htmry FuRo.state of Fipridg} —' islgnatvrr of luotary Pw>x rr 5tatr,of Florida l
Personaliy ict)awn_,C_ OR Produced idQn,4fIM t n Personally Know_g_OR Produced IdentMoatfon
Type of Identification Pmdueed ?ype of ldenttficbOun Prader 4
Csxnmissiah No. �+�r pw�, { A'RAD.M0l.W- Commission No. �a�o� � k
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REVIEWS FRONT FCIidtNG 5vPRA ISOR PLANS VEGETA'h ON SEA TURTLE MANGROVE
COUtIi MR R1EMEWF REMEW 0WN REVIEW REVAEW REVIEW
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COMPLETE
INITiAtS