Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �1\5���0 Permit Number:'��° RECEIVED DEC 0 5 2016 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 Residential PERMIT APPLICATION FOR: PRa!'®SE� 4NPR©VE , ENT LO ION. Address: 32o o IU NIA 'F4- Legal Description: Property Tax ID#: `�a5- O4 - add -O®o-�S - Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DE LE DE�SC� 0 WOR , A-t O C.1-T 10 K) O F QA,t o A. Q_&b-A 9- PLA-0-3 Y_Q i CEJ G,AQu9s CO 'STR lJ' I0 ;© A I'• Additional work to be pertormed under this permit-check all that appy: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Electric _Plumbing _Sprinklers _Generator —Roof Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ 5660 .00 Utilities: —Sewer —Septic Building Height: 01N ER E�S�S COT 0 ' Name sL4, ` �Q Iv11'� SOCE r1v1 Name: '',g�Y Address '3d 4J' A '_Lnf' Company: City: `�1�1rre, State: Address: 926'e I've 'P/1&;l1c Zip Code: Fax: '7-72- U�-0(7 L/ City: L. &t O.�t7 State:21E Phone No. -7-7 Z 3L¢[ Zip Code: Fax:Ao!�/��.� 1-7 g E-Mail: ►''C5RM RQw1 Phone No Fill in fee simple Title Holder on next page(if different E-Mail 40 from the Owner listed above) State or County License �°1 l If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. S PPL R MR R 01 IVA:1011 W N, R • I • " • 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: City: City: Zip: Phone: Zip: Phone: OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a.permit"to,do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in contlict 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 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'riori=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 commencing work or recordin your Notice of Commencement. Signature of Owner/Lessee/Contractor as Ag nt for Owner g ur Contr r/License Holder STATE OF FLORIDA STATE OF FLORIDAQ ` i— COUNTY OF LU�i� COUNTY OF P�1 e,QC�I The forgoing instrum!nt was acknowledged before me The forg ing instr ment was acknowledged before me this 30 day of DOVewt( ,, 20�o by this ay of (` Ari b4ek 20U by T-1 CIA a4 0,tu v-�1/ ky-le-n c., (�"6L (Name of person acknowledgi (Name of rson acknowledging) (Signature Notary Publi State of Florida) (Signature of Notary blit-State of Florida) Personally Known OR Produced Identification Personally Known V OR Produced Identification Type of Identification , Type of Identification Produced [ Rlehard Eric Shawmr Produced BB ;�► .�+`^-_CII➢IfSS10NFF149209 :o'�•���' c MY COMM�SSI�� 1653 Commission No. = EXPIRES:A 0 2016 Commission No. BONDS * * EXPIiiE A 16,2017 ,'`•,,,,,,,.•`'` IStFLORIDANOTARY.LLCOF BwM7hmB9*N0bryS*VICU REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 7/203.4