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Planning and Development,5ervlce
Building and Code Regulation Divi�
2300 Virginia Avenue, Fort Pierce
Phone: (772) 462-1553 Fax: (7
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Building Hermit Apr
4982
462-IS79 Commercial X
Address: 9650 S OCEAN DR 703, JENSEN BEACH, FL 34957
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 703
Property Tax ID #00 4502-610-0063-OUC
Site Plan Name:
Project Name:
!;Pthacks Front Back:
Right Side
Replace 3 windows with �3 Hurricane impact winac
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kdditional work to be pertormea unaer inis permit - c:nec:K ail 119 aNNIY•
HVAC Gas Tank Gas Piping _Shutters a Windc
❑ Electric Plumbing Sprinklers � Generator � Roof
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5 rt. OT rustrioor:
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es Sewer [:1 Sep
If value of construction is S2500 or more, a RECORDED Notice of Commencement is requirea.
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DESIGN ER/ENGIN EER,
_ Not Applicable'
Name.'
Address�
State:
Z P.2 Phone
FEE ....,'.'.'.._`.DE.�N a m e:
Address:
citv:
Zip: Phone:,,,,,.
1 Not APP112cable
MORTGAGE COMPANYO
Name:
Address.,
C'Ityo
Zi P: Phone: -
BONDING COMPANY:
Zip*
Not Applicable
Not Ar)nlicable
OWNER/ CONTRACTOR AFFIDVIT: Application is here ,de to obtain
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the Permit holder to build.the subject structure
which isin conrlict 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 ma appi
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In consideration of the granting of this the wor
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 additiono_a.dit..
accessory `^~res,,swimming pools, fences, walls, signs, screen rooms and accessory uses to another non. residential use
WARNING TO OWNER:a Your failure to Record a Notice of Commencement may result in paying twice for
imyour property. A Notiof Cobe recorded in the public records of St.
Lucie County and posted on the jobsite before the first i
with\``_`'w,'o.�.:'rmencinR'�_.".'.rem-._./N.`_Co=",ce_e`.
Signat4re .~'`.e- asAgent for Owner
STATE OF FLORIDA V Al t4t,%J
COUNTY OF 1Z
Sworn to (or affirmed) and subscribed before me of
or
sical Presence or Online Notarization
t�is av of loco 4-%j'C- by
P hgs
,- yh-i sr
YA% I
Name of person making statement.
PersonalIV Known OR Produced Identification
TVpe of Identification
Produced
li'g* atur --`^.a-..``'M-tatt'.....
Sig ature of- ntractor/ License Hoider
STATE 13F FLIII^RIDA
.'...Y.
Sworn to (or affied' and subscribed of
Ph sical Presence or Online Notarization
th1sZ ay of U 2k� by
Name of person making statement.
Personally Known -OR Produced Identification
Type of Identification
Produced
Lwaature of N&arv\PubM- St
Notary Public State of lorlda ot PiAbhc State of Ron a
Commission sion a Jayne Hall
N o. albonna Ja ne Hall COM No. 47 9
My Commission GG 207585 My Commissm GG 20 758 5
RE IEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TU.RTLE MANGROVE
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COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
D A JEE FD
REC IV--
D A EE
COMPLETED
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