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Home My WebLink AboutBuilding Permit Applicaiton All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 0 —we-__101 ., RECEIVED FEB 1 D 2020 Building Permit Application permitting Department Planning and Development Services ot, L 90P Gaunty Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: ti� F`R©POSE�I71:MPROV�It/I�NT LOCA'TtON: Address: ( 00`Z S P,2i.VG ZA/-11P —reg Property Tax ID#: 3 �� lC�OI� Lot No. Site Plan Name: 1-11A U/OT-0 Y 6:,4 Block No. Project Name: 5'P//V'6 Z,4k f DETAIL�D DE-�SCR(PTI�N QF WORK: AIX t TZ d IV ' U.v 67 CONSTRUCTION IN!FORMATIO'N: II Additional work to be performed under this permit-check all that apply: /Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ Utilities: Sewer _Septic Building Height: OWNER/LE-�SSEE: CRNTRACTOR: Name /n,49 JA W 4 J-0 f 64 Name: 074yl O L• T; 5E/+/ Address: 6 00 `f -5 fIV19 GA&15 T'A'P- Company: 0, 7, 1ff�¢T✓�� -� /R City: PI 9 Y2 9 State:_ Address: 7 5 O 5�Le/ l/X B 1J/2 v % y I Zip Code: Fax: City: eT ST• 1//G/ e State:�L Phone No. 973.-5 a0 lflO 9'[5" Zip Code: Fax: E-Mail: Phone No 772- $/ 9'1/4 Fill in fee simple Title Holder on next page (if different E-Mail c�,parr COi✓a� taN��ScIZV� f/ G/v? F from the Owner listed above) State or County Licensee/4c 18'/G Sly.y If value of construction is'$2500 or more,a RECORDED Notice of Commencement is required. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. I UPPLEM'ENTAL CE�}NSTR+UCTION LIEN LAW INFORMATION: 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 which is in 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT . WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Y Sign ure of Owne /Less /Contractor as Agent for Owner Signature of Contract r/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF SA-LA4Xu- COUNTY OF S-t L,"up I_Q The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this__LUay of J 20 9CBy this day of EQ pj 20 c by )n k)V'Q lflX::,---Pi Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced PL_ -0 Produced L D� (Signature of Notary Public-Stat f Florida) (Signature of NotMA t e of Florida) SE�1 EN VAUGHN ELLENCommission No. a �, ( )- mmission No. : A�1�WN ° :State of Florida Notary Pu li �` of Flori a-Notary Public *_ Commission # GG 27007 �� Arc Commission # GG 27007911 F %;r P.` ��mm� xpires %OF;� O tuber 22, 2022 . Octobor 22, REVIEWS FRONT ANS V E G 9 VE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVI DATE RECEIVED DATE COMPLETED ev.