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Home My WebLink AboutBuilding Permitg ApplicationALL APPLICABLE -INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:() Permit Number: w� 'E3 �. Building Permit Application andDevelopment Services Sul/ding and Code Regulatlon Division 2300 Vlrglnla Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462.1578Commercial M5ldential , PERMIT APPLICATION FOR To Select from droPbax, click here PRU OSiAD'kNPR -VEM::F`NT`-LOCAT.I0Na Address . L Legal Description: .. _O V Property Tax ID #: '� `�I :5 - ) i,; Site Plan Name: Lot No. Project Name: BlockNo, Setbacks FrorTt_�_• � Back: _ Right Side: Left Side: _ ©ETA{I�Eb'.i7 SCR°IPTION. OF WQK—..K : sY I L f ' CONS "k b, O r f l`ORMATI N, Iona wor a e orme un ert Sperm pp Y� CHVAC Gas Tank []Gas Piping Shutters j''� Windows/Doors Electric � i.�l Plumbing 115prinklers Generator Roof Total Sq, Ft of Construction: S Ft, of First Fioar: Cast of Construction! $ I I �� • �"� Utilities; 11 Sewer D Septic Building Height: Address; City... f S+. Zip Cade: Gf� State:', I� Fax: Phone No,l,, -,)I £? Z E-Half: Fill in fee slrr[Ple Title Holder on next page ( If different from the Owner listed above) If value of construction is snoo or more, a taTlsY i rSti�:.i t]#�: Name: ON M �,C4 ,b Company: of re6F3Llrt{r��C Address: 5G /J1c7 City: o47 i Lu''!f State: F�- ZIp Code: , 3Z �_ Fax; 17a -1`7 / r F419 Phone No, E-Mail. C.vG�+.r�(��llrcl/�cyli vXi Gib .. .. . State or County License: - -. -L._--�--- ,II Notice of Commencement is required, Name; Address: State: City: Zip: phone: FEE SIMPLE TITLE HOLIER: Not Applicable Name: Address: City: ZIP: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: state: City: Zip: _ ..�.� Phone: BONDING C®l!1<IPANY: Not Applicable Marne: Address: City: Zip: Phone: l certify that no work or installation has commenced prior to the issuance of a permlti St. Lucie County makes no representation that is granting a permit will authorize the enu covenants that build ojr prsohibit such which Is in conflict with any applicable Homeowners Association trees, structure, Please consult with your Horne C]wners Association and review your deed for any restrictions which may Opp Yt . In consideration of he grantingf this tans, therequested Florida r i Building Codes and St Lucie Cauinity Amendments, In ali respects, pe perform the work ag in accordance with approvedP '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 result in our WARNING TO OWNER: ur failure Notice of Commencement nce for +t mu banicernee recorded nt rded and postedyon heing ljobs'te improvements to you Property, n attorney before Before the first insoect9tin, if you intend to obtain financing, consu Stgr+ature of'Owr�erf Lessee/Agent STATE OF FLORIDA K COUNTY OF� om� The for ping instrument was acknowledged before . � s ti lay of l� 2� by 'R a S ta � 1 Tom-- Ul ��etiu�t 1Nr�r (Name pf person acknowted,ing) (51g a un to un t re of Notary Public- State of Florida I Personally Known OR Produced Identification Type of identification Produced I Commission No. F 1_ ' (seal) Revised 07115/2014 REVIEWS � FRONT � ZONING COUNTER REVIEW COMPLETE INITIALS t3 STATE OF FLOi COUNTY OF —. The forgoing instru nt was acknowledged efora m this ay off. Zc Name of Orson acknowledging of N tart' Pubiia state of Florida } Personally Known, i./ OR Produced identification Type of identification Produced Commission No. `y "/ (seal) SUPERVISOR REVIEW VEGETATION R Vi WSEATURTLE MANGROVEREVIEW