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All APPLICABLE INFO MUST BE coN..-._TED FOR APPLICATION TO BE ACCEPTEE
Date: O�• A Permit Number:
/v�-0A 1
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Building Permit Application 1E9 ®6 202'
Planning and Development Services P@FF@illiHg D@partment
Building and Code Regulation Division §i: Lud@ County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential _
PERMIT TYPE: M 0 W _ W i O(Alylt 1-al - V�1 t VIA 0,A1
A0,t/ V_(./p
Address: 31LQ AhM R, 201 � � a\d UlC�rj, :9'q 52
Property Tax ID #: � t 1 q ' 51 n - nZ.5 2 - 001) - Z Lot No. _
Site Plan Name:
Project Name: _
Block No.
I` t I 1'fiV►n ova rl i el CD &'ge� W(,a n 61 b GIK . - C a Sr�-�-
Additional work to be performed under this permit -check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
0
Cost of Construction: $ o "0 Utilities: —Sewer —Septic
Name R VI'S*�n e a i rn S
Address: -?Ito WQJJ(/ Q Ve
City: Ni-e a, L u P.i"p State:
Zip Code: .34 952 Fax: 7 7 --) - 4(Q (20 —V
Phone No. +b b -O9 ) 3
r_ n>m
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Windows/Doors
_ Roof Pitch
Building Height:
Name:'Gary•Whigham
Company: South Florida Aluminum Products
Address:4807 S US HIGHWAY 1
City: Fort Pierce State: FL
Zip Code: 34982
Fax: 772-466-1074
Phone No 772-466-0913
E-Mail sfapbooks@soflalum.com
State or County License C.,kc, //
IT value oT construction is S2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
5llPPLEM€NTALCONSTRUCTl[ON itENA AW�6 tFORMATIOIV
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
X Not Applicable
Name: fjOrida fil21
dA
En jir\9.06i A
Name:
Address: -4& J 97 a,rN11tiM
Sf- . SM& Zoo
Address:
City:
State:
City: 7P'� State: -IL
Zip: 3310 O, i Phone %'t
3 - � tl- 2 y0 3
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
X Not Applicable
BONDING COMPANY:
X Not Applicable
Name:
Name:
Address:
City:
Address:
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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU NDOBTAIN FINANCING, CONSULT
W1TU-Y_dUR,L1111�ER OR AN ATTORNEY BEFORE RECORDING YOU OT��F COMMENCEMENT."
Si nature ner Lessee/Contractor as Agent for Owner
Si o Icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST. LUCIE
COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this t5ft day of CI.P�C,O,vYI 202u by
this 1S2lay of � a f i.r. a 20�o by
GARY WHIGHAM
GARY WHIGHAM
Name of person making statement.
Name of person making statement.
Personally Known X OR, Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
�&' 4 /' dlnei!�'�i��
Produced
All
(Signature of N
(Signature of
�d` x, Notary Public State of Florida
Commission No. Emily N HickslSeal
Notary Public Still lit of Florida
Commission N Emily N Hicks (Seal)
my mrsswn HH 037541
w Expires 08/30/2024
mrllilon HH 037541
gyp, p ExpvN 08/3012024
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Kev. 211119