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Home My WebLink AboutBuilding Permit ApplicationALL APPLICABLE IN OAUS � E COMPLETED FOR APPLICATION TO BE ACCEPTED ( c� Date: 11 Permit Number: 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: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENTLOCATION':':' Address: k0 0 0-7t AVLL) Legal Description: 56AtjtSLA (-AkF_S &L)Xcg::� CLrl...lj Property Tax ID #: 1501-500- Q S5W_ - C )()()- J Lot No._ Site Plan Name: Block No. Project Name: 17,4►-IGOe_h Setbacks Front Back: Right Side: Left Side: DETAILED DESCR[PTION.OF WORK: 2. OP�►��aC�S - ¢�.c.�.o21 t o�vS 3aitionai worK to oe nerwrmea unaer tnis permit- a HVAC L__I Gas Tank E]Gas Piping Electric 0 Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 34M - - � p4a_m aii tnat aooiv: LJ Shutters Q Windows/Doors Generator E]Roof Roof pitch SFt. of First Floor: Utilities:cnSewer Septic Building Height: OWNER/LESSEE:-- CONTRACTOR: Name a _-AMGoiLA Name: Tiv %d -rt y (St 0Sc Company: Qie.lkm V.ltO'b0�0S 4�00P-S Address: i-(s6u0 100 City: -i Ad L L_ State: F;(— Zip Code: 333L4 Fax: -(o.% I Srlgl Phone No. Address: 10 ©C i AVi 0 City: h �State: EL Zip Code: 3q-q5k Fax: Phone No. E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: C.ct CCILe.: VZLeP State or County License: 0 Q f?Pq:L4LLD Wt LfL L3Z(b13 9�5 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. ?:=y. '.aa� -^+^�,s-' z. -Fb.F 'x'� .i ..,..�_"J',,✓'� 7.` �"�"- Wit. 4' r s�":5 �:,= 'i;:t- �_ la�=`r .ins!.-. �_< - - c`- DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY:'] Not Applicable Name: _ Name: Address: Address: City: State: City: State: Zip:Phan—e: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not A plicable BONDING COMPANY: Applicable Name: ,Not 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 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 inyour paying twice for improvements to your property. A Notice of Commencement must be recorded acid posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. --1 le_-\ Signature o wner Lessee/Contrdetor as Agent for Owner STATE OF FLORIDA COUNTIOF 152o�AA�. The forxing instry4m--ent was acknowledged before me this 2 day of �1 20 LLby �A►.�i90r—'X (Name of person (Signature ofA Personally Type of Idt Revised 07/15/2014 State Commission # GG 056993 - My -Comm. Expire"O)IS, 2021 Bonded through National Notary Assn. no STATE OF FLORIDA COUNTY OF /-_!) 2s 4Z The forgoing instrument was acknowledged before me this Z "o- day of 00 • 20 L—L by I l&DT4 (Name of person (Signature of/Notary Public - Personally Type of Id( L iJ S01J Commission # ) 0 93 -farm. Expires1.2021 ded thiough National Notary Assn REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE t COMPLETE INITIALS