HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
A 14 A 14 A!2f9. li llrlr Permit Number:
Building Permit APPlication
Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (712) 462-1553 Fax: (772) 462-1518 Commercial Residential x
Legal De:;cription:
Property Tax lD #:
Site Plan Name:
3405-801 -0022-000-1 Lot No.
Block No.
Project Name:
Setbacks Front Back:
-
Right Side: Left Side:
LIKE FOR LIKE CHANGEOUT
4 TON 16 SEER 1O KW
perm appry:
l-l *,noo*s/DoorsY
T
HVAC
Electric
Gas Tank
Plu mbing
l-le as eiping Shutters
GeneratorISprin klers tr [-l noot [-' Roor pitch
Total Sq. Ft of Construction:
Cost of Construction' S 52oo oo Building Height:
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
PERMI'I APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IM PROVEMENT LOCATION :
Address: 2507 GRAY TWIG LANE
DETAILED DESCRTPTION OF WORK:
CONSI-RU CTION I N FORMATION :
CONTRACTOR:OWNE:R/LESSEE:
Name: CHRIS LANGE!
Address: 3108 1W
-l5tare:' -
Zip Code: ?4949 | | z-400-JvcJ
phone 11s. 772-466-2400
E-M ait: DAN ISEACOASTAI R@AOL.COM
State or Countv License:
Nlsrns FRED LIENHARD
Address:2507 GRAY TWIG LANE
City: Fl PIERCE State:FL
7i^ a^.le' 34981
p h o n e 11 s. 7 7 2-359-1 342
E-Mail:
Fill in fere simple Title Holder on next page ( if different
from the Owner listed above)
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie C.ountv makes no reoresentation that is srantins a oermit will authorize the permit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owners AsSociation rules, bvlaws or and covenants that mav restrict cir 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 non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvementstoyour property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection, lf you intend to obtain financing, consult with lender or an attorney before
commencins work or recordins vour Notice of Commencement,
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
IJAIT
COMPLETE
INITIALS
MORTGAGE COMPANY:
-
Not APPlicable
State:
Phone:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Add ress:
: State:
Phone:
COMPANY: _Not ApplicableBONDING
Name:
Phone:
FEE SIMPLE TITLE HOLDER:
--
Not Applicable
Name:
Phone:
Signature of Contractor/License Holder
STATE OF FLORIDA
(Name of person acknowledging ) ,
sonallv Known x OR Produced ldentification
of ldentification Produced
atuTe of Notary Public- State of Florida )
Signature of Owner Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
(Name of person acknowledging )
nature of Notary Public-
Personally Known x
Type of ldentification
Commission No. FF96145e r. DAi$ E LLE&{ ilv EsElrlA}l
I-= UV COVrnrr'SStOt't * FF961459