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Home My WebLink AboutBUILDING PERMIT APPLICATIONi All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l�03- `.Date: Permit Number: b► I SCANNED RECEIVED py 1 Iwo as Bui�drng ermit Application Planning and Development Services °$t.tluc Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: 112, INPR01/EMENT LOCATION: Address: Legal Description: %� i 4 e_'S4+e-4 Property Tax ID #: 3`(1Q - -(tee I - Obi& - 000 - Lot No. 0 a- 13 Site Plan Name: Block No. 1 Project Name: Setbacks Front Back: Right Side: Left Side: 9- Peel! si-er; R.00{ A0 "VtiCL�tD(�a 6 IFeL QA, 'AAf Lf �fi'�,,Pr Av(7 .SAS rW,rS n�- Alsr //P ties Gwep lea- -1, C�ONSTRUCTIO NF®RMATION: itiona wor to a pe orme un er t is permit - c ec a tat app y: Mechanical Gas Tank Gas Piping Shutters Windows/Doors — — _ — Electric — Plumbing — Sprinklers — Generator Of Roof Total Sq. Ft of Construction: ,-?m Sq. Ft. of First Floor: v� � Cost of Construction: $ L� 'yov•- ov Ultilities: —Sewer _Septic Building Height: OWN �R LE�S�SEE CONT O Name n; YCVIS Name Address:,Ki rorv, �do it o, j;k �e ,,Cityy,Fiet _ r. State: Add''ress'E.F�" D.'. ` �ilo�'I..�,.s.t, Zip Code: 3yqS� fax: I �- uL City: bad' State: FL- Phone No. Zip Code: 3�Pg�rJ� Fax: '11)-336- M E-Mail: Phone No Z-1) - 3 2,c- - 3 90 Fill in fee simple Title Holder on next page ( if different E-Mail 6�� d Fromcr� l2 CsW--►ti'(- from the Owner listed above) I State or County License C z_ i b2.z("3-)0 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. SUPPiEMEN AL CO'NSTR C � LIEN LA INFOR+MATI:©N: , DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: I Name: Address: City: State: City: -�" State: Zip: Phone I zip:, Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name': Name: Address: I Address: City: City: Zip: Phone: Zip: Phone: I 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 Novice of Commencement mustbe-rterorded and posted on the jobsite before t s inspection. If you intend to obtain financing, cet>s It withflender or an attorney before comme ci iz work•or-recordinor vour Notice of Commenced nt. nt for Owner STATE OF FLORIDA COUNTY OF The forgoing instruL[Tient was acknowledged, before me this.a day of rtA 20 lK by STATE OF FLORIDA COUNTY OF MA t2.k n The forgoing instrument was acknowledged)before me this cM day of FeJor'k20_LL by (Name of person acknowledging) (Name of person acknowledging) 1� tiht�.c� (Signatu fe of Notary Pub ' - State of Florida )' (Signa -ure of Notary Pu - lic- State of Florida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Q�y-oublir State of Florida Produced F o annela Frantantoni a �S` 9-1 , �orV °�e Notary Public State of Florid Commission No. r ly cooml� T 9757a3 Commission No. "l 3 . , . ( hjela Frantantoni o° Ex ves. 05l2912020 c My Commission FF 975783 or p Co F poi Expires 05/29/2020 REVIEWS FRONT ZONING SUPERVISOR PLANS 14EGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED