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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APP.LICABi.E INFO MUST BE COMPL'ei't-D' FOR APPLICATION TO BE ACCEPTED P Date: W' J�'�Q�� Permit Number: sy d dS ... �B it ding Applic FVEC.EIVED Planning andllDevelopmentServices JUL 2 .201$ Building and ode Regulation Division 230 I Virginia venue, Fort Pierce FL 34982 Qe i" i I I n ZaLrt, ment Phone: (772462-1553 Fax: (772) 462-1578 Commercial Rele�II�I1=L L PERMIT PLICATION FOR: I P'R®'POSE© IN;PR®VEM�ENT LO�C�AT�L.®N':/�, Address: Legal Description: �5'1't. cao-6n az q Property Tax IIID #: go(—VO 11 -'L Lot No. Site Plan NamIe: Block No. Project Name1� Setbacks FI ont Back: Right Side: Left Side: DETAI�LE® D'ESCR�IPTION OF W®R�K: I I 1 Q' coo 0 `fin 91L A,. �4 0"'7.aA -/'1A JAr_ / ,7117- ,A77A40115I Aaamonal we rK _Mechanilcal _ Electric I- . Total Sq. Ft of 'Co Cost of Const Il ct :o be pertormea under tnis permit- cnecK aii tnat apply: _ Gas Tank _ Gas Piping _ Shutters _ Windows/poors ::'•4� — Plumbing _ Sprinklers _ Generator obf !, , _Pitch istruction: (jD� SqFt. first Floor: i_Sewer T� ion: $ j < (� Utilities: Septic Building Height: ®UUNER/LE=�S�SEE; C®NTR R: Name Name Address: Company. ' City: , State: ` Zip Code: Fax: Phone No'. Address: lob AV& V, Ol— City: State: Zip Code:3 Q -7 Fax: Phone No 7-1 Z _47 -AQ E-Mail: Fill in fee si !Iple Title Holder on next page ( if different from the O ner listed above) E-Mail State or County License GCL Nl-f -1 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. StJ`PP �'M� #w Ct�N IC3N Lf � t.A I•NtiFC}R:' Ai C DESIGNER/ENGINEER: _ Not Applicable MORTGAGE.COMPANY: Not Applicable Name: Name: Address: Address:", City: State: City: State: Zip: Ph Zip: P hdn FEE SIMPLE. TITLE LD ILNot Applicable' BONDING CO M Y:V Not Applicable Name: -Name: Address: Address: City: City: Zip:' Phone: Zip: Phone: UWNtK/ (:UN I KALI UK AFFIUVI1: 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 th'e:subject structure which is in conflict with;any applicable Horne. Owners.Association rules, bylaws or and,covenants that may'restrictber 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'requestdd permit, I do•hereby agree that I will, iri 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 firsti�lspection. If you intend to obtain financing, consult with I' der or an attorney before commencingrkor recoy6ing vo-ur Notice of Commencement. r Sign f Own r/ Lessee/Con actor as Agent:.for-Owner Signatur o tr ctor/ icerise H Ider,, ' ST E OF TATE: FLORIOA , FLORIDAA� Q o „ COUNTY OF J04nXni� O'e COUNTY OF The for oing instr e t as acknowledge before me The forgoing instru . t las, cknowledged before me this` day of w 20ib by this S day of 2010 by (Name of person,acknowledging Signature of Notary Public- State of Florida) , Personally Known R PKNNgd#.r6 "n Type of Identificat' ` Commission # GG175422 Produced uary.16, 2022'' Commissi'on;No.'��i1un ended thrUWn Nofa:> t l (Nam of person acknowledging) (Signature of Notary Public- State o orida ) Personally KnowOF1QNftqqcMdqffiW&qion Type of Identific i b f'= COnInIMlon # 6G175422 Produced = s Ja�uaa3c 16 2022 Bonded thre Aar �Nn ary Commission No. PRealj REVIEWS FRONT ZONING ,SUPERVISOR PLANS. VEGETATION_ ;.SEA TURTLE. MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW 'IREVIEW DATE RECEIVED' t ' DATE - . • /a J�o COMPLETED