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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLc i I fl FOR APPLICATION TO BE ACCEPTED F91 Date: ��—l' b'0 I !Permit Number: /��/ SCANNED. Rt 2 uetp .�nnb/ RECEVEG Building Permit ApplicatiO . APR 2 4 2018 Planning and Development Services ST' i^u�i©County, PErmitting Building and Code Regulation Division I 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To — to F PROPOSED, INPROVEMENT 10CATION Address: SO 13 1A PL eT 3 Legal Description:�,� f�Qr ti — \ ` ��t _2� I� Property Tax ID #: _� 1 6f — 5 q.0 — I Lot No. Site Plan Name: I Block No. Project Name: A6 �A AI20'�4c Setbacks Front Back: Right Side: Left Side: 'DETAlC:ED: DESCRIPTlONOF WORK � � :. .V & t"ov - D La-z5 ii,evG,- kjeKkI�� %/-15—rw1C I TlON �1_N.FOR/NSTRUCATlOCON e� a that app y: citiona workto a pe orme pmapply: _Mechanical _ Gas Tank _ Gas Piping) _ Shutters _ Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch Total Sq.'Ft of Construction: 0 F 1_ Sq. Ft. of First Floor: Cost of Construction: $ ®�, 2y 0 Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE CONTRACTOR:- Name 4 Lail on TA tr' o 4� Name: T-� Address:` D �n ;, i I Company, City: State,. (Address: Zip Code: A q gFax: State: Phone No. - — 5 (City: Zip. code: Fax: E-Mail: 4- 1 I o COO, Phone.No. Fill in fee simple Title Holder on next page ( if different , E'Mail from the Owner listed above) State or County License If value; of construction is 2500 or more, a RECORDED Notice of Commencement is required. I ; SU,F'PLEM15N CCINSTRUCTIC?N ON, LAW INFORIUTATIQN a _ - a _ e DESIGN LNG INEER: _ NotlApplicable Name: AUt. Wetcca .. t .. I _ _ ...Name: MORTGAGE COMPANY: Not Applicable Address: � '�'X GV VZtAfP,&_sue City: r,` 7 G _ • , State: C-t Address:" City: State: Zip: '" Phone g�ZZ-7 ,S-%# I Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: ' BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: i I Address: City: 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 0 Iners 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 commencing work or recording our,' Notice of Commencement. ign re`o 075, r/ Lessee/Contractor a§ Agent for Owner - I Signature of Contractor/License Holder • STATE OF FLORIDA COUNTY OF Lvu t STATE OF FLORIDA COUNTY OF I The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this If day ofn L , 20-by this day of 20_ by (Name f person acknowledging) (Name of person acknowledging) .2 S& (Signs ure of Nota y Public- State of Florida) I (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identificati -��+s;'% Personally Known OR Produced Identification Type of Identification Produced D� ,=;�,,c�:� Type Type of Identification Produced Commission No. (Seal) c 3 ®m 0030> Commission No. (Seal) REVIEWS FRONT ZONING SU/tQR° PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW _W; w REVIEW REVIEW REVIEW -REVIEW DATE I ox m T ��' w oo RECEIVED DATE �/ J COMPLETED ev. I r,�.