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Home My WebLink About Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: '311511-7 Permit Number: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: A+C Building Permit Application Commercial Residential Address: 57 (0 Kc6i1 J �Y 2;Ll Legal Description:.Jt, t i 1i2.1/ 7-p to 5 i - ;?Nl K -7ts L.4-1 PropertyTax lD #: 4© - WtO • otLDA • ow. I Lot No. 1-7 Site Plan Name: Block No. —76 Project Name: Setbacks Front Back: Right Side: Left Side: ✓Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator Roof Total Sq. Ft of Construction: Cost of Construction: $ 4/58 b . '�0-- Name J Address: 6� I Q ' I)TY f City: F_7 r�- -pi gV-Cp _ State: Zip Code: 3q,9 ga Fax: Phone No. `77-7011- 519 - 015`717 E -Mail: MIA - Fill IAk Sq. Ft. of First Floor: Utilities: _Sewer _Septic Fill in fee simple Title Molder on next page ( if different from the Owner listed above) Name: Building Height: ely- Company. exS Upoli A i 116,.1-M. Address: ,D , --) 01 City: i-Pv&e— State: R. Zip Code:_. E49 614 Fax: 3J& IMD A 8 Ef Phone No -7-7 a 5A2 `7 7 E -Mail ,�liB PX�,('rasnl Alit/ io nr'l _1-AVY1 or,County License-CAQ,9,11 If value of construction is 2500 or more, a RECORDED Notice of Commenceme t is required. i DESIGNER/ENGINEER; _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: of Applicable Name: _ Name. Address: Address: City: City: Zip: Phone: Zip: Phone: niAllura/ rnKITDAr-r1n Arrin%r,�_ . — -- -- -. ----•- • •-^--� SII r 1 I I&J V IF . ,yppucauon is nereoy made to obtain a permit to do the work and installation as indicated. 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 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, 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 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 commencin work or r'ecor_dmg your Notice of Commencement. .- r/ Lessee/Agent 'E OF FLORI A NTY OF . L.L�La The forgoing instrument w s acknowledged before me this !E� day of ton by dames S1we�✓ (Name of person acknowledging ) ,,'5 l,fl.4 Pte..XW'�[ (Signature of Notary Public- State of Florida) \�1y�ti411i1?rtppp SABRINA L. BLP►�IC ,ti,��gAIN4� Personally Known � OR Produced Ide hfic�: •,�9 Type of Identification �f- Produced _s * : �J �o �•, ' +. c i�5337 --: Commission No. (;��Q 195337 REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED ctor/License Holder STAWOF FLO I COUNTY OF The forgoing instrument was acknowledged before me this j_5 day of 201 -i by J� S�► d� (Name of person acknowledging } LZLJ� �(i�gnatu�reof Notary Public- State of Florida ) , I�r`1�`' L. BLP lC 0N%J1nr1!!!p//r rr y nown OR Produeed Id�!'tlfij � e of Identification �`� •kph§Issp �, duced ,psuary,, n mission No. 1953 T SUPIPI��1��S " PLANS VEGETATION SEATURTLE®°orr p'�M 1��R�o�/,E REVIEW REVIEW REVIEW REVIEW REVIEW