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HomeMy WebLinkAboutBUILDING 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