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HomeMy WebLinkAboutBuilding Permit Application I Alt APPt t[Aw E1106'MUST BE COMPLETED FAR APPIAICAYTONTO BE ACCEPTEO- V te. Permit Nuraiber RECEIVED ( FEB 17 2022 ing �� St.Lucie County PlanniqQnd.Reveloprrtentservices Permitting uilding oad CpdcRequCottoo,Divison Commercial Residential X 2100 Wrgitrid Avenue;Fort Pierce FL 44§82 Phone:(772 IO2� 5.3 Fax:'':f< 2}'4&2-15 �aG Fct tdi "P1511 IIT APPLICATION.=F®R. DEMO PR PC}SEQ'fMP�OV 1111 fi l:OC TI N: aaa" Prciper'ty'Tax iD, : 2436-324-0004-000-8 Lot NO. SJte'Ptarti Name . Block Nei!... - Prooct lvarne: CROWE QETAILEDi DESCRIPTION°OF WORK., n code violation - I VVtr.lnfood 'h--acme SCre-e-n rpo/vi � ��`�� includes an electric sub due to the removal'of One wire s:e con R ctvrV 75-We New Electrical tuietev_.. Second'Eledricat Metes (Affidavit,required) +CtJI STR.PiCTION:INPCIRI ANION: Additional work-lobe perfcicrtted- esnder,this Permit—ctre 'all that apply. l Behan cal ,_,Gas Tar ty _Gas Piping Shutters � Ukt.pdows/bore Pend —.Electric Rurrtibin '_ Sprinklers Generator Roof Pitch o 61 Sq. Ft of Construction: Sq.Ft,of First Floor. -Cost-of Con siructron:S- "1"P50 Utilities* _ Sewer Septic _ Buitding Hel trt:� OWNERWLESSEE; C+ NTRACTQR. Name:Charlene Ulrich Crowe. . damp. Address: 4545 S Indian River DR company. Simcor Fort Pierce,•FL City;. State: address, 2990 CONIFER DRIVE ip.0 de 34982 City, ..FORT.PIERCE Florida State: Phone No. E7 Zip Code: 34961. - Fax IVlail: -8 -....-. ... ..- 'Phone No 912 - Pill 10 fee simple 3itle'Holder on next page{if different Ew>'stia I I l rebecca_Qpermitgroupfixorn, frcrrn the Owner listed aboue State arnnty License Alvafue of construetlor�is.25t nr mora,,a RECQRt EE3�dotite af,Gommencement;is required, If'vat�re of, RAvC is S7,SQEr or more,a RECQRDE6 Notice of Commencement is required. I 'S up. .PLEMENTAL CONSTRUCTI�11�.UEN L� l I F R Tl hl. DESIGNER/ENGINEER:: Not'A lica%le " _::; _ _�� Ncit dt pliceble _. RP MD GAGE C PA Y: .. . :Name; Dame: Addcgs: Address, , City: State:..._---�- State: City: ip. :. :. Phone � � `� � Zip. Phone: FEE SINIPEE TITLE IQEDEFt,; _w,Not;Applicable " �M Applicable 6�NII I COMPANYu Name f�la�ste; Addressr City, _ Address.. City Phone; Zip.. Pherno �� f3VttNfRj CtxMTRACT©R tf*I:IltllT:ippietian t hereby rd tc�ota,ri �eemdt t�ds tha nark ar�d insi9fatin as indicated.. I'certif}i that"no tase�rk or`trtstallatic�n h!as:_comenic�d prior to tli Issazan.ce of a gerrrtit St Lucie[aunty ekes tta reppresentafipn that% granting a perrrait will authorize tfie permit bolder tca build th.e s�rbje strut#ure +ahsch"ca�nflicts with ar�y'applicble Hamedwraers" sscciation rules;b lams or ar4�3 covenants ttnaty restrict+ r prahfitit such. s ructur .Pfease cons u c wItlr.y ur klomeowner$Association and rev ew your deed for any restrictions which may ap iy. In cant deratean°iaf the;granting qt this.Ire uested perm t;I.do l ereby agree that I Will,in all respect,perform the ears k ife accordance uwit: the:a0 roved pions;the i for da E3uilrting Codes_and.St.Lucie County A;rnen menu.. The follovt,ng building perntlt applications are ea€ retpt;froct ur derg irrg a full ancurre cy review;room additiohs, accessory structures,swimming pools„fends,w�€Ils,signs,,screen'rooms and accesstary isses tca another non-rd�ident al use VttAR I1NG,TEt i WNER.Your failure to Riicot a Notice ati Commertcement.rrtay texult in paytn tv�►iI r Improvers Ats to your prtaperty A,N'btice,of C6mmencementiyW t be re ►rded on the.public records o>"St. Lucie ty and potted czn the.jobtite before�the first inspection,.If you Intend.tct Qb>ain finaf't+�Fng,o ►nstilt Wi en ' r en"attorne before cctmmehcin cork orrecordin your Notice of Commencement. Sig re.af,Corn ctor-o nor Builder,.as applicable:, STATE OF FLt3 D COUNTY lot ;S>arerr affi d}and s"slascribed before me ot: Physical Presence or, (}nGrz 'Notarization IN €lay af. ,20 y Name of per5dri'makir scat rerertz Personally gncon OR f?res ced lrfentificaciata RQ�Nn��inHA COY --- MY CG k1h11SStf3N I&tE1i38i i Typ f Identification Produced, l.. PIRES°;'�tsy aozs S` nature."of�rotary Pu c- tote of'Florida); Comrniss�on f+ftz (Beall LATASHA CAREY 4NPIUS,'may t0,208. RE111Etf S FRONT ONING, SUPE.RVI$Q'K PLANS" VtGETATION SEA TURTLE MANGROV COUNTER. REVIEW, REVIEW REVIEW FtEVlE1ltE REVIEW REVIEW DATE.. _. RECEIVEE3 COMPLETED