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BUILDING PERMIT
RECEIVED 01/13/2020 RECEIVED 01/13/20 : 52PM All APPt,IC(18LE I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: y{t`II�'t1' © PermitNun be i Building Permit Appl "on 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 SIdential PERMIT TYPE: G Address:r Q v �1 � '%rl �`l:I 1� '�' _•y �/1_ n Property Tax ID tt: Q �..QQ — t:. 00 Lot No. Site Plan Name: Block No. Project Name: �µ�;;.�5�y,� y V OK 4f' d9t-. lv. a -'-Iy SK kV No Q, � fdiItFJ,ik+�'�/..,�°:1Fs6z AE Additional work to be performed under this permit -check all that apply: Mechanical �GasTank Gas Piping Shutters —Windows/Doors Electric _Plumbing —Sprinklers Generator Roof Pitch Total Sq. Ft of Construe ' n: Sq. Ft. of First I:loor. Cost of construction: 45V-4. (2-0 Utilities: —Sewer _Sept Building Height; • Ii� • Y O Name Name Y IBiI' Add s:G f q Compan . Address: City. 'f- `State: Zp Code Fax: Phone No. City: I ZIPCode QIF 'e. ate:FL ppg Fa • E-Mail: Phone �! Fill in fee simple Title Holder on next page (if different E-Mail M/ from the Owner listed above) State or County Licens If value of Construction is $2M or mom, a RECORaEr) Notice of Commencement is requlr If value of HVAC Is $7,500 or more, a RECORDED Notice of Comm ruiemant Is required. RECEIVED 01/13/2020 6:14 RECEIVED 01/13/2020 2:52PM kY DESIGNER ENGINEER!Not Applicable MORTGAGE COMPA Not Applicable`p Name, Name: Address.- City: Zip' Phv � Address: City- _ ,State: Zip: Phone State: FEE SIMPLE TInE HOLDER: _ Not Applicable BONDING COMPANY Not Applicable Name. Name: Address: Address: City: city. Zip: phone: zip: Phon 0 e work and Installation as indicated. OWNER/ CONTRACTOR AFFIDVIT•: Appl cation is hereby made to obtain a permit to do I certify that no work or installation has commenced prior to the issuance of a permit. l Cie Courrtrtv makes no representation that is granting a permit will authorize the permit h Pleasselcconsult w,p gapl"able Home Owners Association rules, bylaws Qr enrf egvena r to build the subject cture that or s�1tr� strSt. ucture, 7th your Home Owners Association and review your deed for any con restrict 'ctions which may apply. IbR such In conslo@ratlan of the granting of this requested permit, I do hereby agree that I will, in all re in accordance with the approved plans, the Florida Building s, perform the work Codes and St, Lucie County Amen nts. The following building permit applications are exempt from undergoing a full concurrency nevi V : room additions, accessory structures, swimming pools, fences, walls, signs, Screen rooms and accessory uses t other non-residential use "WARNING TO OWNEW YOUR FAILURE TO RECORD A NOTICE OF COMMENCFM TWICE FOR IMPROYEMENyS TO YOUR PROPERTY. A NOTICE OF COMMENC AY RESUILT IN YOUR RAYING T MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU IfTE w 14 WIT" YOUR LI NDER OR AN ATTORNEY BEFORE RECORDING Yntio lanrrrr OBTA*N FINANCING, CONSULT ��. Signature of Owner/ LesseeJContractor as Agent far Owner Signature of Cantwcto�Lic a Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY pF d► COUNTY OF Or � The for ing Instrument was acknowledged before me The forgoing instrument nknowledged before me this day of,�a 209P� by this �� day of 20 0 by Name of person Name of person making sta Personally known _K13 —OR Produced Identification Personally. Known i� Produced Identification _ Type IdaMiHcetipn �� Type of Identificati Produced Produced (Signature of Nota P "rYte o 5 nIp{�F1pMkgNg10N#GG 2a7 d,i ,rt MY CpMMI I N#�2a7359 (ig elute of Plotfry,), ii d0M1" 4(;(;r207 CommissioriNo. `• 'dr FJfPIR 115,2a22CommissonNa.. amdwwwaftR"l UrAm REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION [EATURTLE J1mANrR0VE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW err