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Home My WebLink AboutBuilding Permit ApplicationN All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: • �!' d'll Permit Number: RECEIVED MAR 1 1 2020 _.___-_—____.____.____ S,BL ��d��,�e� ng Applic Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 vz Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Re! PERMITTYPE: D •//� Address: •ra, �,wry{(}JyryED P.1d"I slams t:.�i3S5ul m MAR 1'0 2020 Permitting Department` St. ucie County, FL II A Property Tax ID #: I:-� 0 1 ,(a I n'�;? L2 m- N U V V Lot No. Site Plan Name: Block No. Project Name: .Glq tftft'� Additiona I work to be performed under this permit -check a I] that apply: Mechanical _ Gas Tank —Gas Piping _ Shutters Electric _Plumbing _Sprinklers _Generator Total Sq. Ft of Construction: i32, Sq. Ft. of First Floor: I Windows/Doors _ Roof Pitch Cost of Construction: $ S' • oo Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACT©R: Name a e�-2 a a Name: z Address: 2 22r 6 ''3 p �� c c ComRany City: i7 e r 6r , Qcu. .. ' ° Zip Code: 2 -:`. Fax., a_. Phone No%72'�3�-6§6- State: _, j `I'. Address City. ,'I Zip Cod'"3`25a p- Phone No A/i 7—(•S13 - G tale: Fax:" 61 Y 3 E-Mail: Mns•Z o c k w wf a C''yy� Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail hC a ti e9 qu4r i I • e.A" State or County License Cg /s/ 4 3 30 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 4 1 I If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. I 10 L _; U PLE E CO S 'U ON "WIN DESIGNER ENGINEER:` Not Applicable Name:O .4 .c eb Pv T O , MORTGAGE COMPANY: _ Not Applicable Name: Address. o Q Address:I City: Lim Orer State: Zip: 3 4L 2 Phone7}72 -321, L/Sti•o City: Zip: I State: I Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING Name: Address: City: Zip: COMPANY: _Not Applicable Address: I City: I Zip: Phone: I 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 al 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, byw4 or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review you deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree tl in accordance with the approved plans, the Florida Building Codes and St. Luc The following building permit applications are exempt from undergoing a full accessory structures, swimming pools, fences, walls, signs, screen rooms and I will, in all respects, perform the work County Amendments. incurrency review: room additions, cessory 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. IFIYOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." �Br Signature of O er/ ge -C n etorras�AgenVorxOwnt6 "� i rejof 5tre or 'icC' se HolaeT�w STATE LORIDA ATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The fgrgoing instrument was acknowledged before me this _Xday of �r"� 26. gby this / V day of %�J�}�_ 20.94ry o Cs�or r4- Name erson making statement. Name of pe on making statement. Personally Known OR Produced Identification/ Personally wn OR Produced Identification Type of Ide�i iIC tion .� Type of Id�entifi � to Produced ) Produced (Signature of . o , - P �, (Signature ' Commission No. +: i•:WCDMMISSIpNf<,@G300617 IRES: 2023 Commis ,,;a?'r�; AUDREYB.HUMPH �al ar : IIyCDMMIS$IONU ''•£Y,!,E:°•" 9onde071vu Nomr/PublleV'Merrnllers :p. 23 '::; ... oc` ypobGeUndecwdlars REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/ i/ ly