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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLEi'cu FOR APPLICATION TO BE ACCEPTED -` Date: Permit Number: SCANNEDRECEIVED BuiIdinl' Wier % ppIicatio Julv 112018 Planning and Development Services ST. Lucie County, Permitting 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: • ROPOSED {N�PROVENIENT LOCATIaN: Address: 13 Y0 J.(M-t50M t 1p7 yle -r-^k,1 L pi'-wve fi- 3'/ Yr Legal Description: Property Tax ID #: 0003 —60ag Lot No. Site Plan Name:-4 ripe 4-At- U Ld i V74 Block No. Project Name: / I Setbacks Front Zoo+ Back: Right Side: I ' Left Side: a7S' Additional worK to be pertormea under tnis permit - cnec aii tnat appiy: _Mechanical Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: 204b Sq. Ft. of First Floor: Cost of Construction: $ (g %a Utilities: _Sewer _Septic Building Height: O NE,R IE: CONTRA • Name YhiZ4i t , I.Name: 1�; �rr•� c�sr,, �yySY � Yn �� Company: -r Address: yr r SUS, c fi� cti,'L Address: $$ko , _ �onaS6rh� 60rati 110'1- City: i Q�`v� �e Statea�c Zip Coder 3YSy Fax: zn, S 7873 Phone No.2�Z ao I '77 9 % City: State: L Zip Code: Y 1 b S Fax: 77 Z 14 r 7$7 3 I Phone No `772 " .20 %7eI % i E-Mail A- amto�siy"N E-Mail:_ Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License JeS .DW 3U2( If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. SU PL MENTALC�30801005101 ©N L EN LA 1�RiMA DESIGNER/ENGINEER: Not Applicable Name:_ 3�cHT�I ��y+�ee�,�,� . ,, -• • Address: urw yvric City: D� L o-„ � � State::�L Zip: Phone MORTGAGE COMPANY: Name: Address: City: Zip: Phone: Not Applicable State: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: 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 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 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 commencingwork or re ordin our Notice of Commencement. 4mu a 0VL,_ —�&/J I�i 4.1— li 4 ev. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF-FLORID