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BUILDING PERMIT APPLICATION
ALLAPPLlCA8liE lNF,.o:'Mtl,ST;RECOMPLETCD,,FOR AP„P, UCATJOM,,TO.BE,.ACCEPT;ElI r ) I Y = Dates --Mmit Number_: -E g SCANNED BY E LIVE; Aqwmp:._ StLud Co �nt�t : -: -. - Building Permi Appfic�ation� JUN 0 6 2018 ` Plannrng and ✓jevelopmentSecurces. Bvildrng unrlode`Regrllatron D,vion`: Permitting 9 e Pa rtl p 2300 Vrgln►a Avenue, Fort Prerce FL 34982 Phone " (772j 462=�553 Fax: (772) 4G2 57 CQfI �t1' �fCFdi R+�S d CO U n ty, PERMIT : N FO _ -- _ L Y L.PIt1 _YY 'Y V , ) 'LK -Y f".P'.c W S'4. ....Yb J'4 � l lI 'c Cd F.. ,T •1' ,�, � �"' 1� �PROPO_SED IMOVENIENT_LOCATION ` ' F' 4 r P�R w Address: 35g Jk---n War4 - Out 2DC4-�S'} 6-L Jq W 3 Legal Descriptions ...p 1V t l Arr— u ei,+ .4'1 r3i r• &o LD4— i j7L4laIg"NCat 9,0n- c5 tpo Property Tax ID, #: -JLJ d rJ 3 L>- 21 a �� Goo —LP Lot 1 -.0 Site P1gh- ame:.,.._ giockiVo..3.. RrbjectN'arri�e� - .....w,�._. , .�. .........._...._,......_.. ., ..... ,...u_.�b.._...._...�..,... ,_..a.,, � . �N.,..,... ......w.... _ �..u.,_ ....__ Skhkl S: Front Bae1c: Right Side: Left Sitle ate. t3 fiFf i .azas 4 fire DDF"IPTION 0E WOC� gDETiiES xF.?may cw: a . lsIS44nq `p_e,Y,�✓e e�►s-I;�� roor- d-,z-c, 1� I oa�� re-Nza ( 4c, cz� kP. k�11 Ci ��+ f�C- ►/Ltmoti.o e�GrS�nc) SHSJ�Irn ✓c-nIR,�I ka (OC 4-z,cC4— p I + ed m o,(, O-ec fa; 4— r• {r` . CONST1i(JCTON INFORMATION r ft w.3.,�,a. a:: vy`rz+�,a 'tj'c:.Yt �. ..� q� . ik.:,ct ><•5 toYM.:i,"`Fr,+-, LG �` r. F�+vr..xi3 7 :.-x+4 a� .�f?..'sv 1 i It Woultio :vYor =to e e orKne un. ;er t is=pernlit c ec. a app y: �'Ga5lank FVAC Gas ng. - Shutters �Wrnclows/.66ors - E Flecfr c, ©Pfumb(ig.5pnnkler"s. Generator ,Roof Roof pifcfi Total,S:q.ft:ofCoristrucfiori;, __ _ S FtofFristdoor: _ L-I.Se-WeC Cosf0, consfrucfiori: $._�(, j C7� 0Ifi(ifies Sept c SUildi»g"Height; Name Mick R 4c I-C, Names JPKre Harn�Sp�( address: 3`6� sF (�a�an'�a. �PtV-� _ ; . Comp 'ny cS+ 1_itC-1 C Qooc city'.- P��-d- S� L�G� StatL Adesss IR13 SW S mACeho i3ty�_ Cjly; .Qo�l� 51-::.Lu4�► C• $ta$e'L Zip„(-:pde: 3Fax; Phone IVo. r 7 lad',-) Zip Code: 3`'1 19/ 9 Pax: 9 19 -9o'l -` y q E=lVlail: Phone No: a- 3 L1L4 ' E=plait: _u G ram'►.n - .:c F�fFirrfe simpfe Tif�e Halciei• oirnex# pale (ii different ro ,114 Q nec:listQ�l att+nve = State:or c©ui; Ifvalueaifcortsfruc€�arrPs$250 oriiror`esaRE�ORD1=i�litoticeof�Commencemerttrrsrequired. RTA-X4 F V�'�"'xt V�' �A' 06, "WANRM), -, x 36 M gg',;�' NP WR" ,, � =v - X ""z= 2" DESIGNER/EHIGINEERr NotApplicahte.. fV[GRTGAGE- :'�CeMpAUy--, kamez More City Zip: Phone Stte:.� ............. . :-City; t Zip-, Phone: . ..... ..... . ..... ------ __'____ --------- FEE SIMPLE THE HOLDER: _!NdtApplicabie BOWINGCOMPANY-. Not- Applicable - _-Addrew, Address: ty: ity- Ci Phone [certify-that-no,work.or installation hascommenced,pribr to.the-issuanceof a-permit- X-Lucie-Countv makes no representationth4t is Rraritiniz a vermif will authorize the p( structwev,viease consult wanyour Home wriers Associat-icin.anck review yo.ur. oeecupr any, rpstrimpl3s:wtl,i.cnm(iyappjy.-., i in accordance with the approved'pla'ns, the Florida Building Codes and St. Lucie County Amendments. The f,.Dflowfng'budding p.errnft.app(icaiionslare exempt romundergoing plufl.concurrengy. review*. roqmIacl0itions; WARNING l"01"OWNER : Yourtafiure:to Record a -Notice of Commencement may result in your, paying. twice for IftiON vemen "todyou properEy kAfdM66fC fffdk�ifffi before,the-first,,in.soecti6n.-'If you .inten&to,obtain.financing,.consultwith.16ndo-r-or an attorney- before- t6friffidfidififf Wbek. o e t - Notice dbd fin ffidfiCdmi etit 'STATE OF FLORIBA tbukttbrz STATE 0,F FLO '91 :Th fftoln-i d"b"fibre-me -6 g. 9P �q ci D 20Y thiseLdilwo -f- 'p instrument k -06 The cirpingirr rumen wasac now Y6A th" §Y, --C-f -E& Name of pers!�Wking statement ; ; 'Name-dmerit isbrAirknnwm) deMhificati0 04rsoh6llykown� ✓ OR 666w- Type. of Identification Type ofldentificiafib'n ve b Olt a L4-QMMNCE PROULX (,,Signature of Notary Public- SfateofFforidaf, Commission No.lzolykllks CbNqTAWCE P R L *"'C MY COMMIS COMMISSION # FF 160517 My C EXP IN 40 h*` Commission No. EXPIR�dgg'ALber 16,2018 COMMISSION # FF�IU610)5�17 07)jfi!�0�153 Fl0fodpNotarySqrVlCe iMY F . EXPIRES September 16, 2018. gnift" COM REVIEM& FRONT ZQNJl.,q4'- ..SUPERVISM KAM%, VF_6F_TATl_GU, SEA.TURTL,--r—_ MAwGPaV;E._ COUNTER1 REVIEW. REVIEW REVIEW, REVIEW REVIEW- REVIEWI DATE -RECEIVED k ATE COMPLETED: R6V.- 8/2[17