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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Aw O - 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' PR01? ov- Address: 6L I Property Tax ID #:5(4ZS--7Q-3-QJ-7q- Coo --7 Lot No_ SitePlan Name: Block No. D-4 Project Name- -F T- A I C WTI, P.: -V"V 3D C-xallca- -E:1e-c,41-u,,, Wediv Ple-dzr 0-4��p (/-t M" New Electrical Meter Second Electrical Meter :ONSTRIX-171K-1N R FO I MATl6N. -0 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 T Roof Pitch Total Sq. Ft of construction: Sq. Ft. of First Floor: 0 �yq(� 0 Cost of Construction: $ Utilities: —Sewer Septic Building Height:_ 1 ---co N h T q J R� Name- 70 Si) Name: MO -A Vk Address: 4 onp I kk, <1 Company:T04e-tt m4fTlym City: Tk—t� State: Address: Llffi, Zip Code:3 �fq 5a Fax: State: lEt=- Phone No. 32-(-3;to -) -2-D (4 Zip Code3qq5). Fax: E-Mail: Phone No-7-7 a-3-�->7- -372-�?� Fill in fee simple Title Holder on next page (if different E-Mali-hYALi +=L&,) 1 fieg&thev State or County Utcense 6K, AL0 from the Owner listed above) 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. •....., w- =,«n. Name _ mut Hppucame MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: City: State: Zip:. Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: - City: Zip: Phone: �iurk�isQ � PAkt'1'n At+rr►� w rrrr» rr� BONDING COMPANY: Not Applicable Name- Address - city Zip: Phone: - --' —.....r-.. I. 2% ev r1e0 v... /Alipncauon is nereoy mane 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 Coun�y 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 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 th jobsite before the first inspection. If you ii1tend to obtain financing, consult wit l lender or an attorney Q& commencing work or recordinemour NeWlPP of �nmt Tleamnrr+ as Agent for Owner STATE OF COUNTY ©FORIDA�,�. �C� � STATE OF FLORIDA COUNTY OF _ T c-( SVO -n to (or affirmed) and subscribed before me of Physical Presen or Online Notarization this 24 day of 202# by Name of person making statement. Personally Known V OR Produced identification Type of Identification - Sworn to (or affirmed) and subscribed before me of sisal Presence r Online Notarization this Jdayof 202# by Name of person making statement. Personally Known OR Produced identification Type of Identification ISignature of Notary Public- State of i►�" LANE COLE _ NoW �yt��E��� State of Florida Commission No. <` Ca�tgifiS3ibn # GG 961089 Commission No. c ' �or MY Comm. Expires Mar M, 2024 _ Banded thfvj2h Nationai Nriam Assn. REVIEWS FROND . ZONING SUPERVISORFRE ANS VEGETATION SEA TURTLE COUNTER REVIEW REVIEW IEWREVIEW REVIEW DME COL Notary Nbtk - Statf ii 7connnission # GG MY Conn. Expires r Ed through National of Assn MANGROVE REVIEW