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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1123/20 Permit Number: Building Permit Applicat on Planning and DevelopmenttServices Building and Code Regulation Division 2300 Virginia Avenue, FortPierce FL 84982 Phone: (772) 462-1553 Fax: (772) 462,1578 Commercial Residential X PERMIT APPLICATION FOR: Address: 508 E Easy St Legal aescripfion: Indian Rive[ Fsiates Property Tax 1D #: 3402-607--0069-000 7 Lot No. 44 Site Plan Name: Stephen Worthington _ Block No. 2 Project Name: Setbacks Front Back: Right Side: Left Side: Mechanical Electric __.. Gas Tank X Plumbing Total Sq. Ft of Construction: Cost of construction: $ 1120.00 Gas Piping ___. sprinklers Shutters Generator Sq. Ft_ of First Floor: _ Utilities: Sewer `Septic Name Address: 508 F Easy St City: Eort lerrp Stag: Fi Zip code: 34952 Fax: Phone No. 779-801-4438 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Win dows/Doors Roof Pitch Building Height Name: Daniel Fekete Company: Address: City: Ampka State.Ej_ zip Code: '19_719 Fax:407-542-2145 Phone No-3_52-396-0154 E-Mail State or County License Y4;14M%-- VI UL191a tM74L1VL1 w &JUV u, niuica a nraL v[nury nimice orLurnmencement is required. so eat DESIG ERI GINEM NotApplicable MORTGAGE COMPANY r li otApplicable Name: Name: Address: Address: Clty_ State: City_ _ State. - zip: Phlone zip: Prone_ FEE SIMPLE a ITHO€ DEM Not Applicable BONDING COMPAiff: NotApplivable Marne: Name.• Address: Address Ctty: 71p: Phone: Zip-, Phone: Otl PJERI CONTRACTOR AfflDVIT. Application is hereby made to obtain a permitto do the work and installation as Indicated. I c+ettiiy that no work or installaitionu has cornmenced prior to the issuance of a permit. St LucieCounty makes narepresenWon thatisgrantingapermitwillauthorizetheparnitholdertobuild the sttbjectstrEtyre which is in corlfli&twii# ant► applicable Home ownersAssoclatiaa rules, bylaws or and covenantsthat may restrict or pro€ ii3it such structure. Please cansultvaN your Home Owners Assaclation and reviewyour deed faranyresWeffans Which may apply in consideration cefthe granting ofti s requested permit, I do €reWN agreethat I will, in all resppacts, perform the worts in acmrdancewitlt the approued plans, the No Ada 8uIt dIng Ccdes and Sty Lucie County Amen dMents. The following buildingpumitapplicationsareexemptfromundergoingafullconcurrencyreview.roomadil ons, ax, orystructuresFswirnrningpools,fences, wails, signs, screen roomsandaccessory usestoanoiherrion-residentialuse WARNING TO OWNEM Your illureto Record a Notice of Commencement may resultin your gayingtwicefar improvements to your properly. A Notice of Commencement roust be rp-mr€led and posted on thejobsite heforathe first hrspection_ If you intend to obtain financing, mnsult with lender or an attorney before commendnizr work or rEwrdinffvuur Notice of Commencement. ,. %6 'Y / ?� -, - anatur+= t]wnerf iel �ractorasAgentforOwner M dfContractorlacenseHolder STATE OF EI.ORIDA. STATE £3E FL€]R10A co>limOF COUNT OF Indian River The forgainginstrumentwas acknowledged b0bre me The fo oing Instrument was acknowledged before me WE)f l-.nj 1�M, .al��{I�y this 2Z3 dayof Januar r Zli 2(ly _-Daniel_Eek(-te Daniel Fekete Name ofpersonmakcingstatement. Name of person makingsiz merit PersanallyKnawry X ORProduredidentifcation FemonallyKnown X ©RProduced ldentifcatiDn Type ofidentifrcation Type ofld tliicatian Prn3 Produce (Signature N�kNotwyPubfioSt-- Pamela (Sgnau€re of oflorida Pamela r4 03r37ri3iS3innl 0. Co,t.n alj ' c115 �AFr1Irlf iorrtillf CanmEbro:o91 ml. as REVIBNS FRONT ZONING SUPERVISOR PLANS VEGETA FION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REXREW REItlEltil ©ATE HECl=1vpD BATE COMPI.EiED t 1Gr. Wrrfad