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Home My WebLink AboutBuilding Permit AI.L�APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED rr 2 qq Date: Permit Number: RC ' ; ' `'" JUL 19�20�� MOIR Building Permit Application Planning and Development Services PERPMITTIN-. Building and Code Regulation Division St. Lucie Com.•.-' 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial _ G� Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line P=ROPOSED IMPROVEMENTsLOC TIC)N ,.,.' F 4 , Address: �5� S. ooeay-) lbs'• "' 2V Sen -Bch' FL. #� sDSS Legal Description: 4EF6 mizAarAli?m &nc!0 " Property Tax ID#: 41Fa2.40O I— ©O(p'q— 000 — t Lot No. Site Plan Name: 11 -__ 11 / Block No. Project Name: :5\Qlrt_ 11C � CAA.C) Setbacks Front Back: Right Side: Left Side: 11 4 f NSTRUCII N 1NFORIIATIO ! � � Additional worctoa performed under tis permit—checka apply: ❑HVAC 11 Gas Tank F]Gas Piping _Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S . Ft.of First Floor: Cost of Construction: $ Utilities:n Sewer Septic Building Height: Name G Name: ' Address: 5 S 6eRn-5c OD 5- Company: IvC�-�li�"�� Fli LQ :14C- City: 144City: (Qo 5e'() 13,e CLC State:1. Address3 Zip Code: City: /-1-)1 La ±' ) State--- Phone No. Zip Code: Fax:-"["1,�)'33L4— 1)�1S E-Mail: Phone No.— ��_ — Fill in fee simple Title Holder on next page (if different E-Mail: + from the Owner listed above) State OrAunty License: t o'5 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. L -- 'SUPPLENIENTAL�CONSTRUCTION LIEN LAW 1NFC}RMATION ,, 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: 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. Signature of Ow,y er/Lessee/Contractor as Agent for Owner Signature of C ntrac or/License Holder STATE-Af'fLORID ST TE FLORIDA COUNTY OF COUNTY OF S-�.1'� . The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me this ��day of 20 11 by this 1�day of 20 _'1 by (Name o person acknowledging) (Name ofpFrson acknowledging) gnature of Notary Public-Nate of Florida) (Signatu a of Notary Public-Sbate of Florida ) \ - Personally Known OR Produced Identificatiot� Personally Known OR Produced Identification `f' Type of Identification-__P..ro�uced �u _ :