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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO /MUST BE COMPLETED FOR' PPLICATION TO BE ACCEPTED 10 Date: �• � 7. �� ' Permit Number:—y� ��• Building Permit Application Planning and Development Services MAR 14 2018 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential V/ PERMIT APPLICATION FOR: To Select fl om dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATII,OOy�NJ: Address: ��S%`� W)�97ze �� Legal Description:D.e�O%i� ��% PropertyTaxlD#: ��SO��"'da�2'©tJ Lot No. Site Plan Name: Block No. Project Name: c54* AaCO 1*A, , Setbacks Front Back: I Right Side: Left Side: I DETAILED DESCRIPTION OF WORK: IAZ;WXTAt W af'6V06ie1/o,�% apm,,40 IM99"Ce -mwe ;0. fps bww' i 61IOx 72')0 - CONSTRUCTION INFORMATION: I itiona wor to e e orme under t i„ permit— check ❑HVAC Da Gas Tank Gas Piping a apply: a Windows/Doors _Shutters 11 Electric ElPlumbing Sprinklers Generator a Roof Roof pitch Total Sq. Ft of Construction: ' I I S . Ft. of First Floor: Cost of Construction: $ 1?4O-d Utilities: I Sewer Septic Building Height: OWNER/LESSEE: j CONTRACTOR: Name Eit/iYETiil+/aEyy %y%C�79 Name: 45WA4F �d�! Addresss'.27 Q?�$IVT�JP,O I Company: City: ! e-61/11le I State:/ Address: Zip Code�17y7 Fax: I /� City: l &M c7/T State: F� Phone No. I Zip Code: R*(V9l Fax:77J 1224 I8d 9r E-Mail: I Phone No.-771% 7V Fill in fee simple Title Holder on next page ( if different . E-Mail: e%&&-s4��0P�'R �%�R�1' from the Owner listed above) I State or County License: Z-25'8a If value of construction is $Z500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCi—J, LIEN LAW 10011 DESIGNER/ENGINEER: _ Not Applicable Name: Address: City: State: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: I FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: I I I Zip: Phone: I I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is gran�ing 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 pert it, 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 exemp� 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 Reco4a 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 optain financing, consult with. lender or an attorney before commencing work or recording your Notice of Commencement. _ Signature of"dwnef/ Lessee/ STATE OF Fl COUNTY OF The forgoing instrument was acknowledged before this 2 day of �,AR2 20 /� by (Name of person acknowledging) re of Notary Public- State of Florida ) Personally Known f✓ OR Pr( Type of Identification rotd,� Commission No. ".�F OF F•�v r (407) 398-0153 Revised 07/15/2014 Signature STATE OF FLORIDA COUNTY OF I?4O4PdIW The forgoing instrument was acknowledged before me this Z day of �� 20 4rby (Name of person acknowledging) (Signature of Notary Public- State of Florida ) duced Identificatilho Personally Known Type of Identification Pr e ALYSSA ATKINSON "i MY COMMISSION #FF117904 MY CO IS ION FF117904 une 9, 2018 �'.. a;-` a Commission No. 9 'o?. EXPI*9I)1une 9, 2018 EXPIR � •'•„•••••• (407) 398-0153 FloridallotaryService.com REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS