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PERMIT APP 5184 TURNPIKE FEEDER RD
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED Date: Permit Number: Building• Permit Application Planning and Develo Development Services Building and Code Regulati©n Division Commercial mercial _ �� Residential 2300 Virginia Avenue, Port Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: CA Property Tax ID #: 1'2S O 1 (.p t S- C) v c)_ O O U � Site Plan Name: Lot No. Project Name: Block No. LJ L New Electrical Meter Second Electrical Meter Additional work to be performed under this permit -� p check all that apply: ..Mechanical � Gas lank Gas Piping ng � Shutters � Windows/Doors .�, Pond Electric � Plumbing Sp rinklers Generator Roo f Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor; Cost of Construction: $�' Utilities: Sewer Septic Building Height: --------------- f value of constru t' . •� w Name: �' Company: �OC��c��( �roul i Address: PC> �Csk 1 �GZ City:State:_�� Zip Code: 5 Fax: Phone NoLF- -7/ z0-� E-Mail l ""1 J�-'o CU State or County License_ c ion is ZSAO or more, a RECORDED Notice of Commencement f value of NAVE os $7,500 ®r more a RE is required, CORDED Native of Commencement is required. i OWNER/ CONTRACTOR AFFIQVIT: Application is hereby made de to obtain a permit to do the work and installation as indicated. has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize which is in conflict with an applicable P .the permit holder to build the y pp able Nome Owners Association rules, bylaws or and covenants that may restrict or prohibit structure. Please consult with your Nome Owners Association and review our deed for y . r prohibit such Y 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 w in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from under of accessory structures, swimmin pools, fences g ng a full cc�ncurrency review: room additions, g p ,walls, signs, screen rooms and accessory uses to a th WARNING TO OWNER: Your no el non-residential use failure to Record a Notice of Commencement may result i • improvements to your property. A Notice of Comm y n paying twice for Luce County and posted On the jobsite�nGement must be recorded �n the public records of St. Wit before the first inspection, If you intend to obtain financing, e er or an a yefore commencin work or recordingour N nanc�ng, consult your c Of Commencement.. Sig _ of Owner/ LTe__ e-/Ca 5`cto�ras Agent for Owner STATE OF FLORIDA COUNTY OF MSwor to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this d a y of OC -g ; sn9y 2020 by Name of person making state 4 nt. �Y P Personally Known _ OR Produced Identification Type g Identification - P r p c d.:..� .r (Signtuof otar blic F r� " hW G� SSION OHH 43553 Commission Nol EXPIRES: SEP 16, 2024 Bonds _ 1 st State Insurance REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW DATE RECEIVE( DATE _ COMPLETED Uv. �-�-----�--- - - Sign_�rtfe of Contractor)iic.ense older STATE OF FLORIDA COUNTY OF 1 Sworn to (or affirmed) and subscribed before me of 'may/Physical Presence or Online No this ��ff-���� i ��- torization !dayof u.s= , 202Q b 9 ,r y Name of person making statement Personally Known OR Produced identification Type of identification Prodte A (Si atur . o ary Public- Sfiat * COMMISSION #HH 43553 Commission No.A. EXPIRES: SEP 16, 2024 `` � ' trough 1st state insurance PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW