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Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FAR APPLICATION TO BE ACCEPTED ^I II ^^^^ ' Date: � �'� Permit Number:UCl�IOo�y RECEIVED Building Permit Application FEB 12 2010 Permitting De Planning and Development Services St. LUII cpuntyeryt Building and Code Regulation Division _ / 2300 Virginia Avenue, Fort Pierce FL 34982 Residential Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT APPLICATION FOR: Address: Legal Description: Lot No/4 Tax ID #: o� aS� (QD3' �®�I - ©FJfl � Block No. Site Plan Name: Project Name: Ce+I%�A.c Prmnt Back: _ Right Side: Left Side: Mechanical _ Gas Tank _ Gas Piping 'V Electric — Plumbing _ Sprinklers Total Sq. Ft of Constructions:/ l v gd Cost of Construction: $ 0D Name U L!/lllF '/I - A0 X 'r 2 Shutters Generator Sq. Ft. of First Floor: _ Utilities: _. Sewer _ Septic City: / / State:L Zip Code: Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) Na Address: 270 winoow5/ uuu1 a Roof Pitch Building Height: /d, State: GL' i iow Zip Code: Fax: Phone No Z' - "J/ E-Mail J " (- r 0r,�'! State or County License If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. 1J=S1UlvtK/tNb11MEER: _ Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: 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 commencing work or recording your Notice of Commencement_ d lgn re of Owner/ essee/ ontractor as Agent for Owner Signature o "tract /License Hol r S ATE OF FLORIQq/ COUNTY OF 7/ �,� G/� STATE FLORIDA �(JC COON OF The forgoing instrument was acknowledged before me this day of f 20M by The forgoing instrument was acknowledged before me this day of �� . 20� by L o 114 6A10&11---' (Nam of person acknowledging) (Name of person acknowledging) Wda (Si nature o otary Pub =:rse' fgnature Nota - Notary Public Ste of Florida -iflley 6 Clrk Known QR RFptlblftit��ilt it»ion tkoifas 10►3012023 881Personally Personally Known a t Type of Identificatio Type of Identification Produced Produced Commission No. Z (Seal) n Commission No.06?Z 2SoO / 1 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.