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Home My WebLink AboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �� 9 Permit Number: " Duiming Yermn Hppmaxion Planning and Development Services Building and Code Regulation Division / 2300 Virginia Avenue, Fort Pierce FL 34952 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERM I APPLICA I ION FOR: To Select from dropbox, click arrow at the end of line I PROPOSED IMPKOVEMEN I LOCAI ION: Address: Legal Description: Property Tax ID #: ►��Z%�©I ��5 ��D f7 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: DE I AILED DESCKIP I ION OF WORK: Right Side: Left Side: CONSTRUCTION INFORMATION: _ KVAC "Gas Tank Utas Piping Electric ElPlumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ ISY_ OWNER/LESSEE: UShutters E]Windows/Doors UGenerator . 0 Roof Sq. Ft. of First Floor: _ Utilities: []SeweraSeptic Name aLe aI1P AW4DWAIL f .%aix. /Yid/ Address: 396 Address: City: /7a42 V /Gig State: 10 Zip Code: /1/0oZ0 Fax: 585- 343'D7'1Q Phone No. 585-1409^ 78.3-5. E -Mail: 'i %arra uJ P Q -en ese.elumb:e'r.r-0 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Building Height Roof pitch Name: GUVtTlS P A 4(PA c n -, Company: &o -Tom A%r- S.sqs .t ems i L r Address: I !' 15 S E �/l 11 d -Q �� r ee rt p �' City. Po FZT St . L v State: Zip Code: 3�fg52-- Fax 77d- Phone No. -7'1 a- 3 3:5- 3 3 2 E -Mail: CLA stc it Sys Cool CGvn - State or County License: G C.' 51 i t 0 if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMEN IALC:ONS 1 RUC IION LIEN LAW INFORMAL ION: DESIGNER/ENGINEER: _ Not Applicable f MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: i I Zip: Phone: -- FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no .pork or installation :gas commenced prior to the issuance of a permit_ St. Lucie County makes no representation that is granting a permitx_fill authorize the permit holder to build the subject structure Association rules, bt:lal, s or anra covenants that may restrict rpr prohibit such which is in conflict with any applicable biome Os niers =. Y structure. Please consult %vdh your t-:ome Owners Association and rey e_v your deed for any restrictions which ma apply- in consideration of the granting or this requested permit, I do hereby agree that I will, in all respects, perrornn the work in accordance vAth the approved plans, the Florida Building Codes and St_ Lucie County Amendments_ The following building permit applicat:ons are exempt from undergoing a ;tall concurrency review: room additions, accessory structures, saimming pools, fences, :walls, signs, screen rooms and accessory uses to another non-residentiai use WARN ING 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 Iobsite before the first inspection_ If you intend to obtain financing, consult with lender or an attorney before commencing work or reco-ding your Notice or Commencement. SiTature of ContractorILicense Holder I for Oevner 1 Signature at OE.neri-esseeiContractor as Agent STATE OF FLORIDA ; STATE OF FLORIDA COUNTY OF i COUNTY OF i The for Ding instrument :vas acknowledged before me ; The for ing instrument was acknowledged before me - '=0 this, day of 2d ab} 1 this day of by l - t Name of person aclmo�vledging ) (Name of person ackrimAedging j (Signature of Notary Public- State o:=!eric.= ; (Signature of Netary Public of F c-,ria) Rersonalfy Kno�tim '� OR Produced Identification } Personally Kno.vn OR -Produced Identification i Personally Type of identification Produced Type of Identification Produced I YP4, CI!RLC'c ytii Y v CHRISTINE 8 EAif}}a No_ mi s Sion L711_ �"'• C r� * * i Commission ..f MYCOMMISSION #G!>$25i6 ;- * * EXPIRES Agra 2021r*p rt_R F * MYM1MISS1OY#GGM2543 Revised 07 i 15i 301 4 �� - Q`a� EXPIRES: Ap Ul 4,2M1 REVIE NS i FRONT ZONING SUPERVISOR PLANS VEGETATION i SEA TURTLE I MANGROVE l COUNTER REVIEW IREVIEW REVIEW REVIEW REVIM[ REVIEW DATE _ E COMPLETE INITIALS 3 _ - -----�