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Building Permit Application
Abk APP&J19AM INF9 MY-W M 99MPEfTp9 f9n AM-11m9mT9 of- ma-pTg9 Date: Permit Number: 'C 1 FRI f Pl�q�ii Pin ® y-&pffient§ f�Igp _§ AUG 2020 §y##ir�Pgr#fg#,efigP�rlgtign Pi�ui.�igr� P� Pinighyenyge, F®litftefFe ft IQ& P.�'rm it�-i ;, � I- , � � t Phone: (772) 462-1553: Fax: (772) 462-1578 . COmmer•Clal R si.- entaaf: � !- ..-� �" p�:d f.�.,�llt L..l_R 9:a t. �...i .�..4 [- tV. El i PERMIT APP I_CATION FOR: :PROPOSE PROVEIVI'ENT LOCATION: Address: Mg-Pffiff-PRAWAN §9,VH Legal Description:, §91.3T)ON 9§ /.TOW100 §0 / RM99- 49 . . Property Tax ID #:'��'7�=�9/� .. Lot. No. Site Plan Name: VANO WkW QN, EM Block No. Project Name: Setbacks Front m Back: Right Side: 19' Left Sider V DETAILED DESCRIPTION OF -WORK: CONSTRUCTION INFORMATION Additional work -to e nertormed. .-under t .is -permit - c ee . all app y: _ ZHVAC Gas Tank. Gas Piping _ Shutters. Z.Windows/Doors. Electric PlumbingSprinklers ❑Gene rat or Roof Total So. Ft of Construction: RAN S . Ft: of:First. Floor:.2,11 Cost of Construction:. $ Who- Utilities:cnSewer .Septic Building Height: OWNER/LESSEE CONTRACTOR: NameMnn? GAfp.• Name:- 00-h-W LY;@.MYq A d d r e s s: §999 §09,0 Y§ IhAw, I &wy 49 Company: "ARAe, 9@W9,PWVt@QJP1 City: pelt-&, kusO. State: AIL-. — Address: §999 §qku,�. LU@ )4, Ii §trite 49� . . Zip Coder $9 Fax: k779) MrMN City:Qt§t. Lwi@.:.. State: ALL. . Phone No.�(772),$MM9: Zip Code:. M-52 Fax: E-Mail: Phone No. t772097915-51V fJPJ Jnfe� Sf19JLe#Jg H&Oir 8n 11p?t. p4gei. E-Ma i I :,YA b�tiEgri�? f1'QM1 ,th@ Q ►aey1JIg eo raj V@Jl State or County License:- (OtMAW II i!t,Yow ol m9pokum91d fny@,.,q ft_E_tQ)$JQgJ? NQt ce 9;'t P ,►?1&eQce.M@,;i ) F@gtk1r&: I SUPPLEMIE . TAL-'C0NST.RU.CTION',LIEN LAIN INFORtMATIO:N:. = .: ID 9GNER//E'1 GINEEIL _ Not -Applicable MOB, E.COMPd�Y _Not Applicable Name: ;Braden 15,cadan. Name: Address: 41;7c=,o utiAxe. Address: City; ;S.tuan State: !FL. City: State: Zip: 34.9a6 Phone: (,2)28a-2s8 Zip: Phone:: FEE. 51ILETITLE HOL0E13s- . = Not Applicable BOJYDJJYG COM, ,X: Not Applicable Name: s -Name: Address:. Address: City: City: Zip: Phone: -Zip:. Phone: 1 certify that -no work or installation'has.commenced.prior to the issuance. of a permit.. St. Lucie Countyy makes. no representation that is granting a:permit will:authorize:th.e permitholder :to -build the subject -structure which is in conflictwith 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 will, in all respects, perform the work 1neccorclance 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 TDOa11 NERM YYourWfluir a to Hewrdl A [Notice of Com mencemem may!fit In �yo�r pay"tng ftice.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 obtainfihancing, consult with lender or.an-attorney before commencing work or recordin : Our Notice of Commencement.. Signature of Owner Lessee/Agent Signature. of, Contra ctor/Lidense Holder- 5 TATE OF FLOM, DA STATE OF FLOPWA: C'f✓U1TlIT ®F 'ST:LUCIE: (ONY ©F iST:000IE . . I The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this c2Oday of A- 6-w 9 7-- . 21 B=olby 'this Azp day of At'C-tts T 2D 424, ibV MATTNIEWILYL'E VYiNNE ir�ilATiMEW!LYLE MYNNE (Name of person acknowledging) (Name of person acknowledging) (Signature of Nota ublic-State of Florida) (Signature of Notary. lic- State of Florida ) Personally Known x OR Produced Identification Personally Known X OR Produced -Identification Type of Identification Produced Type of Identification Produced Commission No. 9e''�,, yP�gA DOROTI(l�ONNBASI Commission No. ,�" ..Y ... DOROTHYp SKIN b ` MY COMMISSION # GG 030145 }, MY COMMI8SI. N # G 030145 . ^: .119S UPIRES: October 2 2020 °Aat ��� EXPIRES: October: Bonded-Thru Notary Public Underwriters ",I �ii `- o. REVIEWS FRONT ZONING - SUPERVISOR PLANS VEGETATION : SEA TURTLE MANGROVE, COUNTER.- REVIEW REVIEW - REVIEW REVIEW_ REVIEW- - REVIEW-- - DATE. CC:OU PLIETIE II�NIUTUALS .