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Home My WebLink AboutBuilding Permit Application17 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 7{� Date: — - Permit Number:J Iv f - ....�.._.ww,,, Building Permit Application JUL 17 2017 Planning and Development Services Building and Code Regulation Division PERMITTING St. Lucie count}, F-L 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential / PERMIT APPLICATION FOR: PR®P©SED INPROUfMENT LOCATION: Address: 11 Udn J& I R- A -A Legal Description: Property Tax ID#: I Si';)- -io l ^ ao44 ^ wo - 3 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: r Lot No. Block No. W J=,STRBCT O INFORMATI'� N': Additional work to be pertormed under this permit —check all that app y: ti Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 14 a Utilities: —Sewer —Septic Building Height: Name c e/ Address: p ,'6 J %w I)ti i'ti4I City: E-f Pia/ State; r/ Zip.Code: 3b9's". Fax: Phone No. 'J - L1 03 . Ioe 7 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: CC-6 1 Ail Sr, to4i cn s Company: „ LAJ a 4C-rA k-" Address: 6 GTL City:. --r Pi-e-1 ce Stater Zip Code: 3 ' 39 9-rg Fax: '7-) 2_ P c i Phone No -16 Q Q J E-Mail C.oe t State or County License If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. i SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made 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 County 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 your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencine work or recordine vour Notice of Commencement. Signatur Owner/ Lesse0atAractor as Agent for Owner Signatureot Contractor a se Holder STATE OF FLORIDA - t STATE'OF FLORIDA COUNTY OF. ` COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before `me this day of I& 2Q_ by this _ya day of 20 I by (Name of persM acknowledging) (Name of p@rson acknowled ing loz�� (Signature 6f Notary Public- Sta of Florida ) (Signature of Notary Public- St to of Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced LAS1iAHNAINGRAM Commission No. :2 o a �: Not $B'$i, lic,- State of Florida 1v;n�ao "' Commissiofr .. -"—"'�C—e� L01,,,,n,r;� o- �: q ' a �, - lath o 'orida ' . rt ^; My Comm. Expires Dec 20, 2018 i°`o- afePj�Jlfmrr�t€o°f iar n ,o� Commission d� FF 177299 REVIEWS - '••9 %.,iota.•. 9 .momn. T cr � n., B I GNatirn - F 177 99 �( I U6`E'WSOR PLANS 1j VEGETATION ,,,,,u, bon dedthro,ghPii!innal,,,,o!.,.,, SEA TURTLE MANGROVE �„- .:_ _ yr�i1 COUNT R �� .. _....' 'RE'�IC 11!'. , L-R'EVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.