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Home My WebLink AboutBuilding permit applicationAll APPLICABLE INFO MUST BE COLLETED FOR APPLICATION TO BE ACCEPTE Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Address: Vos-s Encc�5/bl ,',n / rro � Fl , `y 'erGe . �G Legal Description: �,f 4 o� 14& AJy✓%e yl F_ol-my , L x LU 9 Property Tax ID #: Z 3 Z ORD � o 0Lji l o o o 6 Lot No.q 5 Site Plan Name: Block No. Project Name: / vl ©oc/y /-e46e Setbacks Front Back: Right Side: Left Side:. . ��2 ditional work to be pertormed under tnis permit - cnecK all tnat apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Cost of Construction: $ r q cc� Utilities: —Sewer peptic Windows/Doors _ Roof Pitch Building Height: OWNER/LESSEE.: CONTRAC OR: Name ZqL94Name: Address: 7- l.S- S &&45M " 1, City: rG(f State: Zip Code: Fax Phone No. ,� 3 Olr o 114 Company: /V.4rA Address: City: 'G0 ��iCG/) state: /CL Zip Code: Fax: E-Mail: Phone No 7ZZ -L/ 72 -COY E-Mail Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License (�,�G c> q(- Z /zY5 If value of construction is 2500 or more, a RECORDED Notice of commencement is required. SUPPLEMENTAL C+ONSTRUCTI®N I'E=N LAW IN`F®RMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencin work or recordin vour Notice of Commencement. Signatu of Owner/ Lessee/Contractor as Agent for Owner Signature of ontractor/License Holder STATE OF FLORIDA <5 1 L�� STATE OF FLORIDA %% � COUNTY OFL��L C'� COUNTY OF The for oin instr ent was acknowled efore me this.zday of �� 20 Mby The/f ing inst t was acknowledge before me this I I day of � }.!Y\ 2017by _,�a nc�lnm ojo (Name of person acknowledging) (Name of person acknowledging)1 n� r1Y\___N IT)'LL31 ary Public- State of Florida ASignature of N ry Public- State of Oloricla) / (Signature of Personally KnownOR Produced Identification- ��t ersonall c1d�id a iope M HU .� �� Produced .` RY P ••, ANGELA M HUFF of lden% ica IRANGELA Produced soy"RY PUBS �% Notary Public - State of Florida F 234730 �j Notary Public -State of Florida ui.(•`_ Commission =, + ; • _ Commis si ay 27 2015 y Expires Commission No M Comm. P Assn. Commission N _,� - ggA�4730 �: r of e- �• ec rough Natio y omm. Expires May 27, 901 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE pmc COMPLETED Rev. 7/2U14