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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMP -D 1 OR APPLICATION TO BE ACCEPTED - �� Permit Number: Date: �_; __0- _ V 'RECEIVED I NOV 3 0 2010 Building Permit Application Permittin Sr. Lucie aiaeaartm®nr County Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone:.(772) 462-1553 Fax: (772) 462-1578 Commercial Residential_ I PERMIT APPLICATION FOR: Address: I I Legal Description: Property Tax I D1 #: Site Plan Name: Project Name: Setbacks Front 1 Electric _ Plumbing —Sprinklers _ Generator Roof �3 Pitch �C. Total Sq. Ft of Construction: 0 Sq. Ft. of First Floor: _ I Cost of Construction: $ Z Utilities: —Sewer —Septic Building Height: I OA IC5;41 ' i�i'G/L C..e Zy ©j _2 zf!-� — Back: _. Right Side Left Side: Lot NO. Block No. $'"Ls'h -i= ::K¢ f •4��ii�A 'y`�� a'+^� �2.1..�#2 4�@ ;5.�..x�.'�aa:. .2�w�:.`F'v. .�. a>.��. ..��..'Y.�rJ��KtS2��'R�. Yi;M,`'EW's. &".'�`r-,� .E�a,�e�.K "' " �, '; 3 i�.'iyi,j. n- RP, )$,,��T� �.°ei Y'y�3 �151' RL i` ": 'ai S YAP' 3 92.'.i�.e�. �3#� ��K�k•:Ff�., w Name fu Name:6' /_3 eA_ Slf:Z� Address: � % ��4 A,1111,y Company: 'li /2Y4 City: 644 c State: Address:�Z Qit? Zip Code: j��T� Fax: City:, �f o7 i_ Stater % Phone No. % 7 % _ % Zip Code: 1' Fax: 7;Z Z-- u /— E-Mail: 844V4 fil i t✓<'f,1PA Y (L'A Z°oM Phone No �7. 4 / 9 �� LZ Fill in fee simple Title Holder on next page ( if different E-Mail s c .e from the Ow er listed above) State or County License° 4:!�: :Ze/_ r If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable -Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name:_ Address: City: 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 ermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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 commencing work or recording vour Notice of Commencement. Sig ature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA------ STATE OF FLORIDA COUNTY OF cS` L,' X C1�� COUNTY OF M" The forgoing instrument was acknowledged before me this day of 20by The forgoing instrument Wqka knowledged�efore me this day of 20 1 by (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) / Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identificatio Type of Identificati Produced F � �, ELLEN VAUGH �" Produced VAUGHN to e o lorida-Notary Public _* *= Commis ion # GG 270079 Commission No. rya° ��'_State of Florida -Notary Public =* *; Commissio 270079 Commission No. :� ;� o; My . 4ion Expires o: i Y Commis °F� ��`° October 22, 2022 o,,eFFw�� n Expires " �!L" O tob �022 REVIEWS, FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW- REVIEW REVIEW DATE RECEIVED DATE Z COMPLETED r� Rev. //LU14