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Ate. MPUCABLE INFO. MUST BE COMPLETED FOR �1PPL[CATffiiV TO BE ACCEPTED
Date,.- M/2021
Planning and Deve.lopm en t Service
Buffvzding c€nd Coae Regufadun D.:'��si��
Permi"t Nurnber
Bailding hermit A.ppl-icat-ion
21300 Viminia Avenue, Fort Pierce FL 34982
Phone
1772) 462-1553 Fax-. (712l,462-4578
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Residentl
Address. L023 �3F LUC-,1l_ BLVD 16
i.-ega'-11 � �.sc��,pn: WHISPERING CREEK CO�OP (OR 1469-2744} UNIT '16 (OR 2904wQ%.P86N
Property Tax ID #: 1-433m504=001 2-wOOG"Y fat No.
S _41te Plan dame: Block No.
��'ueage t,%t Nar�e: WhispenCreed Cc-wop ? ncng
Sethacics Front Bach: °' E� # Side. deft Side..
:30GA-L EL CTRIC WATER NEATER REPLACEMENT
ona 'I work to be Vertormed under this permit — ffthecK all apply,*
VAC Gas Sank [:]Gas Piping Shatters � Windows/Doors
ElectricE�/ Plumbe Sprini��s � �����a��r � Raof E::] Roof pi
Total Sty. Ft of Construction. . ......
Cost of Construction:
P 14 _X
0107
ublittoes.
7+.
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Name
Mispefing.
Creek
Co-op
Inc
ddress,, 2023 ST LUCIE BC1f
City* FT PIERCE Mate:
Z-1 946
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Namer, DIMITRE BOBEV
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Company,,ELORIDA DELTA MEC.4ANICAL
Address,. 8402 LAURE-L FAIR GIR SUITE I 9
City.
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Fax.
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Stateor County Lice�a�e: C1425-917
If value construction is $2500 or mare, a RECORDS[} Noticeof Commencement is required..
DESIGN.M/EN-GiNff-Rt Not Applr*cable
Name: mm-wing Creek Co-op ine
Add tes�'v� ST �uci� 8��;� �ss:
OR , 0" 1
PERCE 3 `
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Phone
FEE SIMPLE TLE, HOLDER.
Name.
Addlirpkess%: u 1AURELFAIR CI Sulam .111
citylb_
Phone..
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MORTGAGE OOMPY.
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lot Appficable
N :V= & 6 DIMITR E B J0 ` B" E )L
Address. t LUCIE BL%i,'
Cit . SPA _ _State.,
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Phone. ,T r
BONDING CCiMPANY:-5
Address,.
�sty:
Lips: Phone..
OWNER/ CONTRACrOR AFFIDVIT: Application is hereby made to obtain a �er�mit t� do the work and inst�€iat�c�n as. inciicated.
1 certify that no. work or'installation has commenced Prior to tha., tssuance of a permit.
y�, Luck-1-11-.4.1. County ma�Ces no repees�ntas�or thati's grar.E.;r�� a permit wi11 autho� ize the ermit holder Ica build the subject structure
u3�3�~ ?: irs cor�i�ac� ,�ait� �n�r a��li�.a�aie Home Owners As1.;;_vcia_t��n rules, bylaws or an covenants that may restric7 or prohabit such
�tructure. Please :�onsult with your Home Owners �ss�aP��<��� � and review your desk To,, an:n,.l restric-&-ions Wh:�� may apply.
in consea�� the granting of this s�c�uested �errr��t, ;ie€€earsdo hereby a�ree that I will, 'in all respects, perform thework
in accordance with te. approved plans, she Florida Building Codes and St., Lucie County Amendments.
The following building permit applications are exempt from unde offig a full concurrency review. room additions,
ac-cess-ory S�if'f�Lt7'25� svjJ'mjt6`F`#iP3� �lE3Ci5� .a.[Pt.�S� walls, Si�'itSJ SCi°��t't iCtC}Pii� e'erRt� accesso?ry uses- to2RC3t�df'f Tltiit-i2S�Y��i?cfs�
WARNING'TO OWNER: Your fai'lure to Record a Notice of Com ence ent r ay result i*n your paying tw&ice for
provements to your Proper-L�"v. Not'ice of Comrnsncemen� must be recorded and osted on the lobsite,
before tie f"rst in-spection,, if you intend to obtain financj"t%,.g,_ coi�st��t with
�mncin,g wo. WrXF
reconding vaur Notice of Commencerrient. �1
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Signal--ure of (awnLessee/contpracto
s
STATE OF FLORIDA
CO-UN-TY. OF.-,
Agent for, Oi;-�eiier
The forn
ir�g instrume�s w€vws acknowledged be�or=� °:�:Y_
.Jdate of l�ll � F 2,v9,1 W b !.
Name of perlszon making st-atementp,
Personally Known Wh __ 0-cR Produced Ident.1 lcat`o
Type cof xdenticdcation
0--.004
Pra&Uced
Rev.,. ���/17
lender or an attorn.-C-NYbefore
qztgiiatu±`2 of �3ittiaCLoijLLIC8t158 Holder
STATE OF FLORIDA
COUNTY OF
The fo,r ding instrumenteras aeknowledged before meday �f 20 f by
Name of person making statement
Personally Known _.�09, P..!:Yr-oduced fdentfficatfai^
Type of Identification
Produced
(51
ignature of Notarf P
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