Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ..nar rat: Y 1( `i F. a 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: PROP S��jjED INhR//O�� EME T Lt?CAT ON: Address: J V Legal Description: Property Tax ID#: 1 Z-+�3 © Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETxAI,LED DERIPT ON .F 11VOR' o 77 CSC- S L CON5TR!lJCT10'N N`MRMFpTION: Additional work to be performed under this permit-check all tat appy: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: O� Cost of Construction:$ �.� Utilities: —Sewer _Septic Building Height: 1N-N�E� /LE-�SSE� : CON.T ACTQ Name -3\ C- e: l �- Address: \ I © Company: City: --� ��� _ State:_ Addr ss: Lo Code: Fax: City. State: FZ Phone No. Zip Code: Fax: E-Mail: Phone No Fill in fee simple Title Holder on next page (if different E-Mail from the Owner listed above) State or County License If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. UPPLEM NfiAL C1�51`�UCTI{ N Lith 1:11W INI:URMATION. N Po ' fi Y v DESIGNER/ENGINEER: _Not Applicable MORTGAGE-COMPANY: X Not Applicable Name: warterTilut Name: Address:6355 NW 36th St Address: City: VirgirdaGardens State' FL City' State: Zip: 33168 Phone' 305.871-1530 Zip: Phone: FEE SIMPLE TITLE HOLDER: k Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St.Lucie Count makes no representation that is granting a permit will authorize the permit 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 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,wails,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 inspe if intend to obtain financing, consultwith or an attorney before commencing work orrrec In ` e ur No of-Commencement. s _Signature of Owner)Lessee/Agent 3ignature of Contractor/ (cense Holder l STATE OF FLORIDAp STATE OF FLORIDA ) L UCOUNTY'OF Luc,''l COUNTY OF_ ,J-� The forgoing instr�yJ1qq��1ent was cknowledge before me The forgoing instrument was a knowledged before me .this_day ofi;,MIC 4'W/ 201�by this 1'5j'day of_ M 20.. ,by Michael Heissen49 Michael Heissenberg (Na; a of person'acknowledging j (Name of person acknowledging) (Signature of Notary Public-State of F r' (Signatureof NotaryPu is-State of Florid wn Personally Knoi� - OR Produced Identification Personally Known OR Produced.Identification Type of identification Produced Type of Identification-Produced. Commission No 't+r� t,�04 y HEATHER VIZZO „ �f.7W� HEATHER VI 1)I NOTARY PUBLIC commission No. � NOTARY PU8L -$TATE OF FLORI A o STATE OF FLC3 DA ... Revised 07/15%2014 cE1g1$ Expires 1'1/13/201!3 'Rii rsi' Expires 11/131 18 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS