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Home My WebLink AboutBUILDING PERMIT APPLICATIONr e IPLLIICABLE FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j Permit Number: l 0© SCANNED �_. Building Permit Application BY ing and Development Services GrU ol/ ng and Code Regulation Division Virginia Avenue, Fort Pierce FL'34982 e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Aluminum Propctty Tax ID I 1 J Site P4Name: � 1 o. Project Name: ME ipA or Setba;` ks Front Back:�o Right Side: Left Side: TO 61)iLD NFiv t7gA / 0967f 011fA PoiPG Ulirll aAVW, Lot No. Block No. Adaitl I nal worKto De ertormea unaertnis permit—cnecK an apply: VAC 13 Gas Tank ❑Gas Piping _ Shutters a Windows/Doors L`I I lectric F� Plumbing ❑Sprinklers FIGenerator 1-1 Roof Roof pitch Total Sq. Ft of Construction: 6V S . Ft. of First Floor: I Cost oflFonstruction: $ Utilities:U Sewer Septic Building Height: iu.? W s 47tY 111 EJ �"�' u�''i.4 .yai 5 Name Name: Addres�: I Company: City:_L'71 �I�Q�'� State: Address: Zip CO, Fax: "o. City: State• IeI: Phone t - E-Mail: I -I 7r%7.-)/ 4F CW 0 Zip Code: fl' f Fax:/ Phone No. Fill in fell simple Title Holder on next page (if different from th ill Owner listed above) E-Mail: State or County License: noc b" If value 6,1 construction is $2500 or more, a RECORDED Notice of Commencement is required. 1 4 � .'i .,ti"'i'i, '' --• k ':c.„�• 4k.-,yx'v` 4 :brw^ .`/.fit cr?e-'., SPP E N3AL1t;i"fit:l[�17 �x !�" �yn+^e y. ty E..(S�j �'-m�`+•by 'i y,e NL.fE.3`f�' J RMN�g�1jy�34� :,...zi�..i�� .%��St.:_�;:w�: DES GNER/ENGINEER: _Plot Applicable MORTGAGE COMPANY: Not Applicable Na j e: !iN 6 C� _ Name: Address: Address: City: State: City, State: Zip: 6 Phone: Zip: Phone: FEE �IMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable _ Narr�e: Name: Add Address: less: City: City: Zip: Phone: Zip: III Phone: I certii!y that no work or installation has commenced prior to the issuance of a permit. St. Lu ie Coun{� makes no representation that is granting a permit will authorize the permit holder to build the subject structure which', s in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such struct re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In con' ideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in acc Irdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments'. The fo�l 11owing building permit applications are exempt from undergoing a full concurrency review: room additions, accessr 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 . impr;�ements to your property. A Notice of Commencement must be recorded and posted on the jobsite befor� the first inspection. If you intend to obtain financing, consult with lender or an attorney before comnirencin work or recording our Notice of Commencement. II s Signat �OFFLORIDA<Z-J.��__ Ow er Lessee/Contractor as Agent for Owner Signatu o Contractor/license Holder STATSTATE OF FLORIDA IIC, �COUN OFtCOUNTY OF 1. ehnief The for in instr ent was cknowled ed before me ing �nstr ment wa acknowledged before me „ P,,,�_ g gday o 20 Eby thi day o LA 20 by av (Name f person acknowledging) (Name of person acknowledging ) gnat' re of Notary Public- Statle of Florida) ign ure of Notary Public- Stake of Florida) Persona y Known OPLP=iduced Identification ry Personally Known O duced Identification X Type of, entificatiionn Produced (1) r �Y� l,;t C£YASIt Type of Identificatiioon� Producedd,y�S Lfi'CO�� Commission No. -`9d I (Seal) Commission No�l-9�19 a 1 (Seal) t y Lillian S. Shepherd Y Lill• S. Shepherd y RI IRI ICt PUBLIC _STATE OF FLORIDA STATE OF FLORID �ReviJ 07/15/2014Cwe!omm# FF931909 Comm# FF931909 A n I' E REVIE S FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPL TE INITIALS!