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Home My WebLink AboutBuilding Permit ApplicationINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: RECEIVED . M 4 Building Permit Application P,anning and Development Services Permitting Department Building and Code Regulation Division St. Lude County 2300 Virginia Avenue, Fort Pierce FL 34982 Rhone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential_. PERMIT APPLICATION FOR: � P;ROPOSED INPROVEIVlSI:N1 LUt,Al1UN •` �` -i Address: �S"dIV 15Z,Ub _ST lle;_E > �• �G'�CG PG 9 a Legal Description. (JM Lfift(L' D" % & 0/e -22 7P 2 - Pr, / i perty Tax ID #: „L�i�! ©(P '' ozo;z UG�D Lot No. r Site Plan Name: Block No.� Pro ject Name: S i tbacks Front Back: Right Side: Left Side: DETAtLEQ QSCR(PTION .OF WQRK. AdditiQna1."rk to be pertormed under this permit- check all that apj _MeClaji'Ical _Gas Tank _Gas Piping Shutters _ Windows/Doors _'E}ectriC' _ Plumbing _ Sprinklers _'Geperator ` Roof Pitch T tal Sq Ft of Construction: Sq. Ft. of FirsC Floor': A v . ,� cost" of..Eonstr:.uction: $ /o� % Utilities: _SeWerK� .,Septic Building Height: ()111/N€RLESS.EE C�NTRAC`OR Name 3., ✓ �f1 �lt3S Name.;EL - A ddress �./ O� 2 � �i �� CO Company' h,'l>S AEVA(oC� 4 COW-��Cil_1a Address ,6 G.�G� e- �� /�l)e-le State• City: _ ip Code. VSFax: City: State: i Phone No. Zip Code: s%25n Fax: E-Mail: Phone No �V75�- Zel-9A_5� Fill in fee simple Title Holder on next page ( if different E-MailCd/1 State or County License _ems. jfrom the Owner listed above) I value of construction is 2500 or more, a RECORDED Notice of Commencement is required. SU'RFLEIVIERTAL CONSTRUCTION'LIEN LAW tNFORIUTATtUN DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name:" Address:- • - ..,._, Address: City: State: City: State: Zip: Phone Zip: Phone: FEE'SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name:` Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 is in which 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 commen,eAg wdk,or recording your No ice of Commencement. Sig a wner Lessee/Contractor s Agent for Owner Signa r of Contractor/Lice a Holder STATE OF FLORIDA5[_ t� C �` "(e_ COUNTY OF COUNTY OFORIDA The fgrgoing instrum nt was cknowledgedj2efore me this y day of &M !.(_ 20il by The fo going instrument was cknowledge before me this: day of ()V e-1 20W by Uot1d L lovd M - C, sl Ck (Name of p rson acknowledging) (Name o person ackno dging) LOW (Signature of Notary Public- State of Flo Personally Known'y OR Produced i Val (Signature of Notary Public- State of Florida) M •--� Personally Known OR Produced Identi rs Type of Identification !.. [co e �' Type of Identification !• Produced m Produced Commission No. d J b 7SS) ��`` //� r1 l C5 Commission No. `r`t o` 3 (Sea REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.