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Home My WebLink AboutBUILDING PERMIT APPALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Window/door POOSD lMFRCltElllllrlt�F LCATiN „ Address: Legal Description: Property Tax ID #: Site Plan Name: Project Name: — Setbacks Front REPLACE Back: WINDOWS & Raortionai worx to oe 1) , rormea I—JHVAC 0 Gas Tank L! Electric ❑ Plumbing Total Sq. Ft of Construction: Cost, of, Construction: $—__—__. Right Side: — — Left Side DOORS WITH IMPACT. SIZE FOR SIZE. unuer is permit — cnecK ail apply: Etas Piping Shutters Sprinklers C� Generator —__ ..----.—_-_ Sgjt. of First Floor - I 1 -------,___—_ Utilities: L__isewel _—, Septic Lot No. — Block No. QWindows/Doors E]Roof Roof pitch Building Height: iName----- — ---- --- — i N an-,, e: — — Adaress:--- — --- —--------- I Company: FHiA l.L�- --- — City: _— ` Cti-r . FL. 3044 SbV •;,:.ND STREET Address: Zip Code: --- -- Fax: — ---- — City: _H`�L-Ly��rr}OD --- Phone No. Zip Code33312: � .—..—.— Fax: _ Phone No. �' a84-i500 i till in fee. simple Title Holder or next Page 9 H different i r-Nrai;: r"ERR4�TS`)�--FilAREMODELiNG.COM from the.O'wner listed above) -tale or COLinty License: --_ — If -value of construction is $2500 cr more, a RECORD D Notice C. r ora�rrat:rF�err3;. rtt is required. iV _ State: FL — DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable I — Name: I Name: I Address: - - j Address: City:State: Zip: Phone: City: _State: Zip: Phone: - --- FEE SIMPLE TITLE HOLDER: X Not Applicable _. BONDING COMPANY: X Not Applicable Name: Name: _ Address: _— Address: City: city: Zip: phone: I Zip _ Phone: — certif\fthat no work or installation has commenced prior to the issuance of*a permit... , St. Lucie Count 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. consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work I�In in accordance with the annroved plans. the Florida BnildinP CorieS and St_ I uciP County Amandmantc 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 st be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, c It with !;ender or an attorney before commencine work or recordinE vour Notice of Commenceme Signature of Owner/Lessee/Contractor as Age er Signature o tractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S *9' L VC-1 COUNTY OF — i The for oing instrument was acknowledged before me 2f 11 2t The forgoing instrument was acknowledged before me this day of 20 by this _ day of 20 _by I 4 o4 ryI(J IVAVNF. THOMAS BURNF?? (Name of person acknowle n (Name of person ac w n I (Signature of Notary Public- State of Florida) I (Signature of Notary Pu e of Florida ) I Personally Known OR Produced Identification — Personally Know 0 Type ofldentification Produced hype of Identi ion Produc • Miguel A Mercado Commission No. ea otiry P ko tate of Florida Uplmission HH 101149 Commi n No. dd�� ora 04/19/2025 Matthew Birkins My Commission v? nn �oasoo °i^ Exp.8/23/2025 Revised 07/ 15/20 —..- -•-�..�.�..- REVIEWS FRONT COUNTER ZONING SUPERVISOR I PLANS�VEGET.ATION REVIEW REVIEW REVIEW REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE�— COMPLETE — j ---�___-- -- - --.�- --------- INITIALS - -