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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE CONrrLtTED FOR APPLICATION TO BE ACCEPTED Date: �• / j'' ,a��-�' - Permit Number: dun � � Building Permit Application MAR 14 2018 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 I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PRC;POSED IMPROVEMEt1T.Lt?CAiIONN, ��..W . g Address: _— ��1��.�A� `r' ?,W Legal Description: M ", 6-` Ae/_- I Property Tax ID #: � 1 ,3 © — ? O — B O:k c "Le T- Lot No. Site Plan Name: )291n & ,� y9 6 I Block No. Project Name: / -,P- I ,f Setbacks Front Back: 45�' Right Si ie: 3' X Left Side: DETAILED DESCRIPTION OF WORK CONSTRt;CTION INFQRIIJIATION A itio or to a ne orme under tis -checkpermit a *)Ply: HV r�Gasnk ❑GasPiping S utters ❑ Windows/Doors IElectric LJing ❑Sprinklers ❑ Generator El Roof Total Sq. Ft of Construction: /W/ a? o S . Ft. of First Floor: Cost of Construction:'$ ®a Utilities: _ Sewer _ Septic Building Height- 0.1NNER/LESSE'E !.CONTRACTOR::`�,,� G� Nameh'1►�rYrsd..�y� ��.�, ,�� Gf�:� ! n Name r • �.r ��y�� Address:-' Q %a wA �' �� - Company: G o i%L p"` w City:�/��'�a""`-� State:F� Of AddressE�u `, v ? � G Fax: Zip Code:' .3'_ y: .� �Cit ��e,��/dr-ry L`Q State' Phone No. i i — �/� Z//G Fax: —� Zip Code: Fax: E-Mail: — -- Phone No. d/ Fill in fee simple Title Holder on next page ( if different E-Mail: 1 J,_ / - G© �' from the Owner listed above) State or County License: f �•�/� +e If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. J V J 1 DESIGN ER/ENWNEER: Not Applicable Name: �-p—�' �' L�oor1S I MORTGAGE COMPANY: _ Not Applicable Name: Address: — I Address: City: I State: City: State: Zip: Phone: — Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: I Address: City: I City: Zip: Phone: *Zip: Phone: I I certify that no work or installation has cor St. Lucie County makes no representation tl which is in conflict with any applicable Horn structure. Please consult with your Home 0 In consideration of the granting of this requ in accordance with the approved plans, the The following building permit applications a accessory structures, swimming pools, fenc( WARNING TO OWNER: Your failure ti improvements to your property. A N before the first inspection. If you int commencing work or recording vour Lessee STATE OF FLORI COUNTY OF nced prior to the issuance of a permit. at is granting a permit will authorize the permit holder to build the subject structure al Owners Association rules, bylaws or and covenants that may restrict or prohibit such vners Association and review your deed for any restrictions which may apply. �Isted permit, I do hereby agree that I will, in all respects, perform the work lorida Building Codes and St. Lucie County Amendments. 'e exempt from undergoing a full concurrency review: room additions, s, walls, signs, screen rooms and accessory uses to another non-residential use Record a Notice of Commencement may result in your paying twice for )tice of:Commencement must be recorded and posted on the jobsite !nd to obtain financing, consult with lender or an attorney before Notice of Commencement. The forgoing instrument was acknowledgb before me this day of Mecca , 20 (S_ by l R en e Z.el ay-c, (Name of person acknowledging) (Signature of Notary Public- State Personally Known OR Type of Identification Produce( re Holder STATE OF FLORID COUNTY OF Saint L, cA p The forgoing instrument was acknowledged before me . this _LD± day of (V1a&Al) 20Lq by • K -2_Ql au 0\ (Name of person acknowled ing ) bill," (Signature of Notary Public- State of Florida:��:�� ifi .• ��ii� Personally Known OR Prod `AA'aEtLfe�1r9�V Q� ' Type of Identification Produced Fof� "r ; MY Corr) v = Commission No. FFS rX Z21 aPfres: m NLI No. FFg 12020 -' . N= F �22�,_' "'' MYCom '� m Commission No. t .2020 s: N _ =Nf•. o. FF,97B228 Revised 07/15/2014 'o.0, 0111110�N' `` '''s�O IIIFIOO�`` REVIEWS FRONT i ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS i