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ALL APPLICABLE I.NFO MUST BE COMPLETED FOR APPLICATION TO BE TAEQ
Date,* 3/5/2021
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Plonning- and Development Services
'gilding and Code I? e g u la tio n Divisio n
Pernift Number.
Buiidir�g Permit �►pplic!ntion
i u0%Poginicy Fort Pierce F.I. 34�982
Phone*. Fax: (772) 46v2q'-1S78
PERMIT "ATlON FOR: Plumbing
Connmercial
Residentia'BY
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Address: 9020 Champions W:F'gray
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50GAL ELmCTRIC WATER HEAT, ER REPLACEMENT
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Totalzm,.j. t-L Of C....-onst-ruction:
Cosi.- of'894
Gas P�p�b
N867fe Eugene A Pomeroy Jr
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Addre_.Lss,-.,: 90%O Champions Way
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Shutters
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Utilities: i_i Sewer
City,w, POP%_""�i` LUCIE State:* FL
Zip Code,,,, 349186L Fax,.
P il, e N 0 772464119
Em4Aai1*.
F'111 in fee simple Title Holder on next page (if different
from the Owner fisted above),
Sen. - LIC
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Windows/Doorz�.lr%
R.oc�#
Building Height.-P.
Rocl'f; pzi+,.C,'%,
Name: DIMITRE SOSEV
F r �09
Company..h LORIDA DE? TA MECHANICAL ...�.�_
Address:& 0402 LAUREL FAIR GIR SUITE 111
City: TAMPA State: FL
Z'1P Code. 33610 ���: 866-219-072t9`1
Phone Na. 866-219-088fl
E-Mawfl&,., FLPERMl T ��DELTAM€CHANlCAL.COM
State or Count-y �;ce�ase: CFC1425917
If value of chonstructionlos $2500 or mire, a RECORDED Notice of Co encement `ss require�,---.
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•:�}ti• •rl�t_,J'�4DESIGNERJ,E-PiZ�
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MORTGAGE COMPANY4 of A,:prx p 1 ca b l
N a Pin. e:r- Eugene A Pomeroy Jr EV
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A reAddress: 9020 Champions Way
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FEE SIMPLE TITLE HOLDER.
N a rin r
� LAUREL FAIR CI SUITE I I I
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zip:@
Not Applicanie
BONDING COMPANY8
,
r4ame:
Address:
City:
Zip. Phone.
---Not Appi'lcahrl2lie
OWNEkd.. �C3i�iTRl�CTO� AF�IDYITa ������a�ion is hereby ���� i� .��t�i�; a perrrsi�- try d� �i�e worK �t�� installa-don as indicated.
I certi3i = thz%ft no work or instailatelon has con-nmenced prior to theissuance of a permit.
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v�h i ch �s i� fn-1-i-lict av��h any appi��able Home 0wners A ssQciaria?� w sec, bylaws or and covenants that may restrict car Pro�i�?it such
structure.Piease consul-L ��-� V.-�a�; Home O'stp..-iners Association and �°�rie��v you� deed �r�r any restritti�ns =svd�ic� sra� appiY-
ira cons;deratie; y Df the granting of �i�is reauested permit, I do hereby agree that I will, in all respects, pef-forni the �•trork
in accordance with the approved plans, the Honda Build'ing Code� and St. Lucie County Amendments.
the folloviing building permit app4icar3ons are exe ��pt from uneiergaing a full concurrency -i,-eview: room additions,
accessory structures, swimming pools., fences, walls, signs, screen roonns and u.;:5.es to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Cc ence ent may reset in your payi-ng.tw'1c.=,.,.. for
i m prove mef,%,ts to your vroc)ertv. A NotIC12.- of Commencement mus.-.1 be rta,... cord ect 2%nd posted on the lobsite
befor� the f:lirst inspecuciri. if you intend to obtain financ*ing,, 4.::Ini �sbu it with I
� 'C .� ;��(��or remrding,your Ice of Commencenx-1-pi;a,
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17
S: nature of Owner/ Les-see/Contmar,'o-r as Agent foti}fig
ATE OF FLORIDA
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CO,UNTY OF
The for.instrument vfas acknowledged before me
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Ndme of nrnank'ing statement
Per:"S%onalli,t Kno-t,?vn OR Produced
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Type of Id ntifil cation
Produced
0
(Signature of No
C o r, i mi -Lq.. 51_4'1 0 r. N o.
Rem. 8/'/17
Signgfure' of Co
ender an atto,rney before
STATE OF FLORIDA
CO
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�� forgoing ��acknowledgedre me
this ��s �r�
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Name of persor, mak!,""0119
PersonallyT I ion
Type of Ident"Ificabon-
Produrgzd
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