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Building Permit Application
To: Page 3 of 4 2019-03-21 13:29:51 (GMT) 17726735762 From: DAVID KRUSE L r rd. n$ Ace ALLAPPCICABL :I1F.4)MUST`BE;COMPLETE[3..Fi7�.E2:APP.aC/ ...0 ...T.. E ..PTS Perrrilt Number , z . a -REC EVE:D tlldng Per. NAR 2,1.2019c � Planning and Uevelapment�ervices S f: l,uele:County ;permitting. 'Building and Cade Regulation Division :. 7301_Vrrgrnio Avenue,Fort:Pierce FL 34982 i'hone,.(77. ).4s2- 5 Fax: {7.7z)a.62-1s7s Commercial Residential PERMIT APPLICATION FOR: : . ... . ... ... Ta Select from.dra.pbox,.stick arrow.at�t#�e end�of:irie fs? 'af: Yt '}' `',.•,s °r3 RIM:" Y { 7tl , � �l:r Fisti�r`yYe.�-s� Ste''+"- ,�7 "�jfi,fy..'�3 t .�1 Ts$- :w...�.�..r 1> .7" 'h'N�.cIp`'v Secy- ti v1 .a_S:1 ,t: r(i >• . 6786 Secoa Address-.: } Wa y s. Legal Description: QpertyTax IL)#: 0 99Loft N6- Fr . Site Plan Name:. IoeEc.No,: Project.Name:' Setbacks Front.Bask; night Side:' ` I,eft.Side.. )'•,.:, .,,y tz.:-.,S 7 Crps';,,4.t. .....�.�.hs♦�Zth.. LAY£'T>�Y�y.��."��'•w.3'',^'�yr{�T� 3`s. _'at��a J``-n k"3c`� ib -:��4-t. Ln`�"$1 '�••rt �i. -3. {';'7 �j j �f n 5 iMs� r3�^-Le`i..C `� _.Yt ..r a•> �e-„i� // g�};.��? 21 ._1-a x1T - �S" 1'i �.. r t�ETI tLEmI�,mk"I fi1t�N t 1 i �V '�-, Change out.residential:air condition n s Stem 3 .Y z�'£hc.�,u-:�. .7s J4xcx�..cy'�,�.w Xlh��z �fiy. xa ;.,,,��S`�`, i., x y.! .,n F'7",,n..� )it y�,cy� y:�:2 ae.i ->.a yt v � '�� q�1 fi'y�`�>3.° rn•r;�x-c.'$ :.Ca. t. •,C�...t� �����''n�> f�1-q {I ��L � .�x�>�1 .�u .r'� ,�•� �t jcr 1�y k;�i�-T� �,tl..y z„�e],i�i a .t`�'�`�`i+,u S''""t r..�•".n ��'--�. t�M, h''t r -�.. �. it�ona war to: e e orme un er#'iii`s'perm3�cf"iec a appy ' ®HVAC _ �asTanEc � � `�t"aas:Piping Sl�,utt�rs � �1Nindows/Doors. .. .�.CfeCtriG . ..0 Plumbing.�: �S�rinklers � generator � �Roof . .Raof:pitcit.. ..�� Total Sq.Ft of Construction; S .t t.of First Ffvor; -� cost of Construction,$:3884 :tltilities; Sewer,L�I Septic _. B:uitding'Heigllt, 3s t •;s "W"- y�x.t.S^4'`z_ NEW-� ( ?tie. - ::.sdyr LaF LGA1''�z<, y S t t yX' y,. .,.+,,:.,,,ti. i* ar•:: ..a,;;�+f _.n : t •.uv t, vtis?..Ll< ...t',�s h>t..i.:L,x.K .,::t:.. �L_.1�,,- H.a. ':yS ,-}::.,<i, t�5 .yam.::;z:RF.rC....}•.e 3 #Vari#e oseph:.SesSa=r, Narrl 'N 0.'K[use.: - •. :Address YIP -Py Corpan y AC..Doctors..irEc._ city:':;Eort_Pierce State:'EL ,4d`dFess.�853_t3i€#moi e.S#rest ` 3495 ' Port Lucie FL Zip Code:: Fax: City; State. Phone No.772-461 21 : . :. :.: ..:. zip.Code; 3498 Fax;+77211077. • Z®� E- aii.bigredsess@bellsou#h:net Pham No. .772-344-394.4 m ' Fill in fee simpte.Title folder pn:next�rage'(.tg.�itffea�ent. E-Mail" acdoctorsinc; @g arl.cam .. . . .... .. .....• ...E fcom.the.Owner-listed-above) � Stata.:o.r County License.: CAC058461' 1f value.of�on�tr�cti�»is.$25QU�,r.more,.a.R)vC�RE3ED.J�1Qtie�of:Corriinencernent is•required. ' To: Page 4 of 4 2019-03-21 13:29:51 (GMT) 17726735762 From: DAVID KRUSE t'�it zv .9'^ -y �,y�v 7 va'oY...h "`•:.' .,.`K ;: tt�ap�xi vim'S a �.- "intil'.: L Y.. 1'�r�i.'��+r Y y1.. �.n"� .�.. �.�n "' :�r*'+ '+ti` 't` : Fs,1'1 aD'i3n: USl1ER/lrit9GiEER .. Not• pprcabte Mtfd'C��GE.COVt[�ANY• No ,4ppficable - � i`Jame Narra.e DauEO Ktusc . . Address;+rrisecy very Address::�vaa saoy�way City: .Fort Pierce :Stat: FL- Ity `Aort.Safnt t,uci6 3Q95i Zip;._ Phone_ :....:.....:...::: Zip P:horie: 9 FEE IMPLE-TITLE HOLDER:' �Not.40ii6ble BONDI NO-COMPANY. :_Not.A:pplble: Narrre kVame: Address:'1as3aljkmnre'syoet , Address. . .:..... . ... ...'.. 'Glty Zip: Zi;i .. Phone; CYW-tq R/C014TRAUQJ' AFFtd IT: pplicationisherebypesrrrftto.Bothe.::wa€k:astd3ristaEla#iori:asirt iic ted.' ` I cettify that'no work flr installation has;t;pmmtariced prior tp the.asftanqe.jpf :.. St•►ucie G4unt+makest Cepresentatlpn that rs.:jrarating:a.:permit.wiil.:authorize the. ermir hvlfler ta.bui[dYhe subject strtttture which}s in'on lct with:any applicable Home Clufiners.Assocratiari•rules,bylaws or an covenants that'rs,ay:resErat t flr protirhrtsuch str. cture..pleas2cpnsult'.with..your'FfomepwnersAssociationand.revityw.yourdeedforany:restrictionsWhichmayapply: In.considaratio�l ofithegeantlo# of thls•retiuested p.ermiti l,do.i}erebyagree that[.will,in,al(respetts,performthe.work- in accordance:with'the:approv plans,_the Florida building Codes and St•�'Lucie:county.-Amendments. ..:.:.. The following'buiId1ng:pgrmit.applications.areexe.m rt from;undergoing a:full.concurrency'reyiew:.rflomadditions, accessory structnres,:swirrirnittg enols,fences,vialls,signs,s reert ropnis:.and�cceS:sory usesto anather_r b. residential use WARNING TO OWNER.:Yqur faikire:.to Recard;a'Notice of Commencemsnf may.res crlt�n:yovr-pay'rnglwke-for. lmp:rov mei7t's. o..y ttrprc perry A.i otree,ofCommen,ement.-must.:be recorded and- osted.on::th ja#asite` beiore.the first inspection::lf y u:intend:tn obtai:rtfnari.c�ng,:cp► suft•With:lertdor:-Or an attorney:before: . . . . commencin .work q.r-ieca.rdirr o.ur Notice,'bf-Comliienceinent. ° Signature.of Ow' . ontractor as Agent for0wria Sigrjatur ,gni ctpr/Licensie Heider: STATE OF FI:a�DA STAVE OF FLORI A COLINT1'C7F t ey r COUNTY O7F- The fcjrgQ'srig.lnstrumerit w�s aCkhouledged taefore.me: The'for ping instruinentur�s ac knowledged bef.ore me thisc "tlayof�'1 �rG, zo bY. this °`ciayof '� 31_. 2p by. 1J i' Dame of person making staletnert Nei ne of person akin' staterri�nt Personally Kngw n- I OR:Pr. uced Identification Personally ItnoWn OR.Producetl ldentoflcation. # Type,ofide.ntification Type:pfldentification Produced Produced JJ {SJgnature of.Nota`r�ric-5tate>of:F[orida) (Signature of.Notdry Public%:5tate. lorsda) WRYLEEPAT1•IS f + °�.. nE lSSiQ35�1 '.. trammissionN4 + .* FSSlONsG &;Bdg : "Comrnissiort:N �? h } `�� XPir�"rP4'vrtt8ande;iFtuti:$u3geitySmSous cr;cG� gA+?1ed,7N+uUdgOl N r SeryiCes' REVIEWS FRONT ZONING: SUP.E90SOR::. PLANS--�'-' :VE.CETATi01•l.: :`SEi4 T'IRfLE MANGROK COUNTER REVIEW..:: REVIEW ..:..•REVIEW :•REVIEW: REV.lEi!!/._. •. :'- ..i2Ei lEW .DATE ..�,�... ,.�„ .: RECEIVED. [SATE COMPLETED Rev.8/2/17