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Home My WebLink Aboutpermit.Lima.CtAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: i A Permit Number: 97. [LUC g - © Building Permit Application 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: PROPOSED IMPROVEMENT IMPROVEMENT LOCATION: Address: i I i t\; E L.i Vna� CJ- Property Tax ID #: 34111 - 6W - 0 a 01 - coo --c Lot No. Site Plan Name: F-1 ��c''r Pa4-k.- Block No. Project Name: DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: _Mechanical — Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond Electric V Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: p, Sq. Ft. of First Floor: Cost of Construction: $ 16 (0 2) Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name K �)44 j A'u,- D &.3 Name: Address: I l i Me L i ylyk k (f---I' Company:T IaJ ,flf Tkc-k-c— City: Stater Zip Coder g Fax: Phone No. 407- &W - 71 i E-Mail: Address: 531 G& e*-c, Oie.yvt-e, (s,;-r City: Rbt-(--�+`U)ci�e- State: FL - Zip Code: a4C a ;t-. Fax: Vl;� 03 5�3� Phone 1\101-7a-3�3}Z-3 E-Mail Nk `` f-ZlaI i1Plr�'i Fill in fee simple Title Holder on next page I if different from the Owner listed above) State or County License CR7- 1L4 5"� 35- �� vo uc vwn�uuwun IJ cwv ur rrnure, a ntLunuru IVOTice OT LOmmencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGiNEER: "NotApprlicabl7eTGAGE COMPANY: Not Applicable Name: e: Address: ess: 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: 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 1 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 i tend to obtain financing, consult Witly�lender or an attorney hPfhi�P f nmMonrine uinrL „r r.,..... a:......_.._ w, r _ _ _ r .. _ as Agent for STATE OF FLORIDA STATE OF FLORIDA v COUNTY OF Ia_�t �U U COUNTY OF S'-T Lo Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of V Physical Presence or Online Notarization P Physical Presence or Online Notarization This I day of I%erZ1(,G 2020 by this 1-7 day of __ h _1-' 2020 by Name of person making statement. Name of person making statement_ Personally Known J OR Produced Identification Personally Known V-1, OR Produced Identifiication Type of Identification Type of identification Produced Produced Signature of Notary Pu Fri tANE COLS Signature of Notary f DMNE cc Public- State o sM ~•..+,, - ••• ?; Nota state of Florida Notary Public - Sta Commission No. =� " Commission # G Co # GG %1089 Commission No. ''.•oFa My Comm. Expires Mar 14, 2024 My Comm. Expires I Banded National Notary Assn. — ed #wogh National RONT ZONING REVIEWS COUNTER REVI W S Rf1tiEWUPERVISOR REVIEW PLANS IVREVIEWEGETA-nON I SEA RIEWLE I MA VIEWVE loci 202, Assn!