HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 1120117 Permit Number:
Building Permit Application
Plonning ond Development Services
Building ond Code Regulotion Division
2300 Virginia Avenue, Fort pierce FL 34992
Phonr-.: (772) 462-1.553 Fax: (772) 462-1,578 Commercial Residential x
COURT
LegalDescription:
Propefty Tax lD #:
Site Plan Name:
3322-601 -0030-000-2
Lot No.
Block No.
Project Name:
Setbacks Front Right Side:Left Side:
LIKE FOR LIKE CHANGEOUT
3 TON 16 SEER 8 KW
ona tnrs permit - c
l-leas eiping
appty:V
T
HVAC Gas Tank
Plumbing
Sh utters
Generator
Ttr
Windows/Doors
RoofElectricIS p rin klers TItl
Total Sq. Ft of Construction:Sq. Ft, of First
Utilities: l_lr"*"r,
Floor:
Et"*Cost of Construction, S bQ55.Building Height:
lf value of construction is S25oo or more, a RECoRDED Notice of commencement is required.
PERMIT APPLICATION FOR;To Select from dropbox, click arrow at the end of line
PROPOSED IM PROVEM ENT LOCATION :
Address: 10115 BAY TREE
DETAILED DESCRIPTION OF WORK;
CONSTRUCTION I N FORMATION :
OWNER/LESSEE:CONTRACTOR:
113ms ROBERT SNOW
Address: 10115 BAY TREE COURT
g;1y. PCTRT ST LUCIE State: FL
ZiP Code: 34986
phone 116. 772-51 9-0539
E-Mail:
Fill in fee simple Title Holder on next pate ( if different
from the Owner listed above)
Name: CHRIS LANGEL
Company: SEA COAST AJC
Address: 3'108 INDUSTRIAL 31st STREET
City: FT PIERCE
ZiP Code: 34946 p6y' 772-466-3053
phone p1s. 772-466-2400
E-Mail : DANISEACOASTAIR@AoL,CoM
State or Countv License: CMC03542l
I 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 the permit holder to build the subiect strucrurewhich is in conflict with any a'pplicab[e Horle owfieilAl3otiiiion'iu'iei;6ii;w;;i;;d;;va;;niiihii miv rest-rici?ibroliilit sucnstructure. Please consult With your Home Owners Associatioh and ievi6r,i,'voijideed foi;hi're;iri;ik;ri;ilfiiiH'iir.'v .ilpiv,""
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workin accordance with the approved plans, the Florida Building codes and 5t, Lucie countv Amendmenrs.
The following building permit applications are exempt from undergoing a fullconcurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessorv uses to another non-residential use
: Your failure to Record a Notice of Commencement may result in your paying twice forproperty. A Notice of Commencement must be recoided and iosted bnlfre jobsite
ion. lf.you intend to ob-tain financing, consult with lender or an attorney beforeLuiltrneltutnH, worK or recordi ur Notice of Commencement.
Revised 0711512014
DESIGNER/ENGINEER: _ NoiAFFiidEiE
Ad d ress:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
State:Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Zip: Phone:
Signature of Owner actor as Agent for Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
(Name_of person acknowledgi ng
ture of Notary Public- State of Fltrida )
Personally Known x OR produced ldentification
Type of ldentification Produced
commission No, FF961459
Signature of Contractor/License Holder
STATE OF FLORIDA
person acknowledging
ature of Notary Public- State of Florida )
Known x OR Produced ldentification
tification Produced
l\9. FF961459
FRONT
COUNTER
SUPERVISOR
REVIEW
ZONING
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW