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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: - t� 0 RECEIVED DEC 111�20 p"` o p,. •.. Permitting Department Building Permit Application , St.Lucie County Planning and Development Services �( Building and Code Regulation Division Commercial Residential �\ 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: fap R, '�L1S Ep (IROM E�NT' LO°° A11NOW-, Address: 7LI05 6'4I 1' 1 S Property Tax ID#: rcJ © [ - Coo I_ ,f4 f"Q-00 I Lot No. Site Plan Name: Block No. Project Name: New Electrical Meter Second Electrical Meter CO1S'TRU�TI�— �I�NF®;R11�ATION �x �� t' .�;:_; .� _s i r4_w 5".,.va,.-�.Y::=rsL''F�B•.!e�t��``Ntts4stan ?8.-�c�aa"�^& T^3�- .,x - Additional work to be performed under this permit-check all that apply: Mechanical Gas Tank `Gas Piping _Shutters —Windows/Doors Pond —Electric _Plumbing —Sprinklers —Generator Roof Pitch Total Sq. Ft of Constructions: Sq. Ft. of First Floor: Cost of Construction: $ 75y Utilities: _ Sewer ,Septic Building Height: n Zi, .`i'u H-`n ,� C��NT,R=ABC-�T®R ,��.�� .� �-� �.,-s.�.�.'�wrta..��rr ...akv:.±��r��:., _.k'E' s.-�...a w�-.�sa��._xu;a-�;r�., !,� � �;�•� Name t-Yl i LAX c Name: Address: � Company: r City: I�ol' y i X,-C State: Address: . Zip Code: `l�Sl Fax: City: State: Phone No 61( (01 Zip Code: Fax: E-Mail: rl + hli . 014-1 Phone No Fill in fee simple Title Holder on next page(if different E- from the Owner listed above) State or County License If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. 41 yV INP DESIGNER/ENGINEER: Not Applicable Wd MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: `Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: 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 ant 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencinR work or recording our Notice of Commencement. Signature of er/lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA `lam( STATE OF FLORIDA COUNTY OF ✓1 Lu (SLi COUNTYOF Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed) and subscribed before me of Physical Presence or Online Notarization Physical Presence or_Online Notarization this 1_�day of D O^ , 2020 by this_day of .2020 by Z-Ky. -, e$f*niV-k Name of person king statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced I _TV Produced (Signature of Notary P ' -State of Florida ) (Signature of Notary Public-State of Florida) Commission No. dal ELLEN VAU I¢prnmi on No. (Seal) ;State of Florida-Not ry Public •= Commission p GG 270079 -c?ea M1e�o� y Commission xpires REVIEWS FRONT 02 VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW R V E REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.