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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPOD FOR APPLICATION TO BE ACCEPTED Date: Permit Number: C.!9f L RECEIVED s, AUG 0 9 2021 BuHding Fermat Application Planning and Development Services St.Luce County Permitting Building and Code Regulation Division Commercial A Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772) 462-1S78 PERMIT APPLICATION FOR: §2 mob �4 Address: - fir. 0 L 0 - - - Property Tax ID#: % `� 3.s- I l O _ (90 5 -O©(�, v7 Lot No. SitePlan Name: Block No. Project Name: ` M- t X s Y _ ' P-,^c) ed er')'eA -5ed loeLs ONLI- o / ), j, ar r rr zaF !"� . K I a Gi'n� 2 �Qll K New Electrical Meter Second Electrical Meter (Affidavit required) Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $�� Utilities: —Sewer _Septic Septic Building Height: Og Name - � -- i- -J rfs Name:J Hetw zo4,ff z: ,_Yr e- I Address: 0 Q jQ�` �`2 Y.n/Y Company: - v h City: State: Address: L900 pn le f Ik e Zip Code: 5 4 QSr 1 Fax: City: E f, /60/` Pre-(. Stater Phone No. 17 2 Zip Code: q 1 ,5r-1 Fax: E-Mail: Phone No 7 70 - 12 Fill in fee simple Title Holder on next page (jf different E-Mail r S.40F ed from the Owner listed above) State or C unty License Cal5-0 i/�E'$ 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. DESIGNER ,ER. Nat'A licaki{e / NGINEE „ R_ IVIQRTGAGE; C11!lIFAt11�1 ;(Vol Appllcaale Address Address , CEty"._ State Crty ,. State Phoney ,one _. _ f'h FEE":S l>11PLE jTLE FIGL�"ERt htat":�kpnl9cakile SQNDIN"'Crohr9P�1�Y: �N�t Applicabte i`tame . __ Name:. Address.' 4ddress. city: tv lR.:. Phony: tp Phor`e C3Wjid,R/Ci:} TRRCf_kAF",FlD,VtT AppGcaftrin is E e ehv"rrigcle to ebtarn a pe �t t tp, c thdworis.antl to, oflati}n as tnciicatetf, {certt=y"thflt riq u�ic�rk it nstailati�r<has;c�mmenced prior<�o tnr�tssuaftce"cSf a perm St Lucie;'Coun i?ta�tes rio repcesentstidn that is g'antlrg'a oermrt w,lf authors?e t7e perrziit.hoEder tc buAd"'th'e suttiect^structu�e' vif�ich"i5irt man€lid wih.a }+alip(icahte_Ftorr+e Ouvnr rs Assoctattcn sIQs-byla!ns or:.and caverants that,may resrrct or-Prohibit suc# structure.Please conscrttwittt recurI.ona `e owhers'4ssocia*cri:and'teuiew yopr de d far,aQy restric-tons whi h"may aP.pl`J. 'n consccleratigri;of the-gran.669 6 this requested permit I:;-e here#�y agree;that!5v ll,m ali aspects,perfor n'=the,.vac e in,accortlancewit, hQ.approtited plans;the rlctncfa;Barlcltn Cades:and,t;.!ucte"�our►ty AmQndrr�ents, the f it owing b (I ing-permit appal catocris are exe rips frr m ttndg"rgein;a fu!r concuerency reirtex.morn acu€tfons; -: 3CCesSO y St Urttiir2s swimming rbOlTts apd accessory uses to anoti?er,.non-rest en 11A13NtltlG Tfl`fltrVNi_R YouCfati , m myrestra y'paymg twce fir !.! 'Rravemerts 'o your p;rnperty A lottce cif Commencement must to recorded +r the pubic records.d St.: , LJCEe c cron y aricS pasted;cn the. "inspec16n,.'lf.you intend tq oor"ain ftnanctn�, consult' . utath 1ndr am tflrn`e .before comrriencii .tivor ar recordlr� our Nofitce afCarnmen4eirertt, _ Sign" 'ura or O!Nr -Lessee/Corisra :or as Agl"rr for Ot�1nQ; STATE OF FMAIbA. �Ot JiVTY"flF' - Swann*o;ot affirmedntl sudsrlhed befara rx e af= �PhyS calresence;or Qniine Ntst�rra.:t�an, this: aay"af` 21_ hY n ; Piame r l;5.;ing-stataI t. 3>erSon�II+/I'iilQt^!C�' /��!"@rocuced'tlentlFi`atkClrl' i'ype cif identif3;ratinn Produce _v. _.,� , {Signat re Qf;Ngtary,a IC Sto:te of.Fla"rtdaj' =ocnaYPvo�o AUDREY B.HUMPHREY Oarrirstssrono ;, .. . _ 15*a+Ji * MY COMMISSION GG 300817 _ r EXPIRES:March 6,2023 Bonded Tlxu Notary public Undenvrilers . REVCVVS,. FRONT Zflt�itVG. SUPERz!(SQ aLA�1S VECETATItN... . SATISR'Ct E tVIAhIGFi;C}VE" Cet}C t�TE F3%VIEtiJtit,. REVIRAl REVtEtN #3E�1tE t'J` REVtEV+! REVIEW, .T ; iaATE„ RECE1_V€C3- DATE .. i V ..