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Home My WebLink AboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:-2 —r%Z ' 7 Permit Number: : Y!P Building Permit Application S 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: To Select from dropbox, click arrow at the end of lineC� `1��y„� RROPOSEQ)IUIPR01/EMNT LQCATIO�J Address: 6 !3'7 n Cl-- I e..s J l vd, 13iffar-4 Legal Description: / c��:✓ �� '" U SecA, Property Tax ID#: C� © Lot No. Site Plan Name: 9cc_UR!Ghit— L&_^k ScIrv"c/4.1 S Block No. Project Name: i i s Setbacks Front 0 -0 0 B�ck:,_e� Right Side: 6 Left Side: A.©o DETAILED DESCRIPTION r4e l6 f-e ou^ot CONST a S i t RUCTION INFORMATION ' � t u, ., . ,.. Ad a work to e e orme un er this permit—check a apply: Ndit]HVAC E]Gas Tank ❑Gas Piping _Shutters Windows/Doors Electric El-Plumbing Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ Utilities: _Sewer Septic Building Height: CIINFR/LESSEE x ,�, �5 g '4 ' sCONTRAC �� E ?- x ,,OR RU- Name /�1,'�� /�6 r ' V 41 ei ve,t„ prL,ee,4b IL Name: Z, /�✓n Address: &8`1 . JS/vr/, Company: .%�v+c4L7✓ /�p,,n ,-ko5ile //4•1i e City: �eivSen �Prcr� State: Address: '72OS�Zip Code:Code: 3 `/I S7 Fax: City: rv`/. ./�lrr state:/ _ Phone No. z ,3.— 37�(I Zip•Code: �Y�lS / Fax: E-Mail: / +/2n LO Phone No. 7 72_ 370 6 V9 62 Fill in fee simple Title Holder on next page(if different E-Mail: Aleme from the Owner listed above) State or County License7�iz If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTUG�TION LIEN LAIN INFORMATIONr X � .z 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.o 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. P Olt( Signature of Owner/Agent/Lessee Signature of Contractor/License Holder STATE OF FLORID l STATE OF FLORIDA ` COUNTY OF ��I.IAG COUNTY OF 5T, U-lGE?, The forgoing instru nt was acknowledged bore me The for oing instrum t as acknowledged efore me this `day of 20 14 y this ay of M by (Name of person acknowledging) (Name of person acknowledging) (Si na re of Notary Public-State of Florida) (SignaVayKnown of Notary Public-State of Florida) Personally Known OR Produced Identification Person V/OR Produced Identification Type of Identification Produced (`1T 0L 12)6D C Type of Identification Produced I �,�J,'r�� (^2 Commission No. y�� (Seal) Commission No. VJ�� ,pirpo NotaryPublic State of Florida ir►u Notary Publ Florida 1351 Julle Baird Revised 07/15/2014 • , MYICommisaion FF 163265 My Commission FF 183265 off�d� Expires 0912512018 of f�o� Expires 09/26/2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REV EW REVIEW REVIEW REVIEW REVIEW DATE 1 COMPLETE \n INITIALS