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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO : Date: ." .. SCANNED _ t BY aSt. Lucie County RECEIVED - Building P.ermitApplical1 ion 'EC 13 2018 Plann6g and Development Building and Code Regulation Division - County, Farmitting // Virginia Avenue, Fort Pierce FL 34982 a .. ... ... ... ... :.. .. .._.. +s—,-?e_ ..... :. .•.:........,......FJ".i:!1311�S:f9..A41, �..L*. .:':':i};:L�:`i'i, `� '4111\W J. e4S43a fj `i1L�:.5 ` 'o., e .D o •. �,. D,;'� � o °"�L'_( s _�a �i+t _,_ CVi. _e, 0 v'l"{Ffl��li,rIIN ;ti,jl?::`.f.il,}, !L,„I:I...y}.;�.;.!1, ,'+p;:3••r:�'rs, i;a.,rr.'$;�`.>'iIt�a:,�,: I"a, rii !�'�!+I,r.Il•l*.1i!11*t�ii''h�"aL 4,Fi 1iF.,`:11J.Y31M1 l'u:ii: •.Y111.3sk ; / / Site Plan Name: Block No. Project Name: ';P Setbacks Front 9 15 Back: Right Side: IZ) Left Side: len t!2,'.S':da"!"I✓=�:�'�I"'fvf�.�Sr:u':i}I::,'Si:n9,4':"`I'viO�7;.�ta:'..:}.�y'�I'Ja:: ��Sip.�, f�4wr.:{I YI}ST..$�'I ti�:'!bljii "'1Ca •d.tk'v',I'ry''�','.,,la'rI,J.i;r�ls.r:'!L:;:!".;�I}`I!11�"•-1;t:�R,,Is7J`�q'.Y."I'INu-Sf.:Ih';2:.:u'''l.�l�.li;,:y�,ly,<:.,h�'d..�idl�ill}L� � i!rf!7fltE!:_bt1,{! �111h`�sf,tibltl il,Lk!1:i al.fi.�°t5a' its ;�t'il fop. °l: M1a°,IE 5;4:t. 3uu�'l, „d Q ®.5!..F.I"l4.l.'l.1_•r•:�i`iV.+f.f._ �[+°mq',:ii;'i:. ai�T}i.:��'tlii.l,�iyll�.j;,,!,rS,!lkl:}6tii!,�;;hi.�✓h#a'4,rv'e�.t"N:�:•nptjd''iwj:iftAl�i :ht,';St."�.io1°.in 'ts`y5 iie-4:3"jrif•'(.:„fI yef:�.i!Z�3¢:�:rT;�i'n,l$I .�...,?;t7�.ur.-..'L:i,:}�,"j�i`v�7�k:1�,!'diBl'.k:.�cij :Ii;✓f-E! } 'rl'. •.lA' ri34' T'a n.i Vl lY°i;�:5'<5,r5,al,.,,:,4aF '?�'_"m':t^E`.i5:,`R'iF'�r'��FC�'!C3 r, a i,s �l!'ififkj�;l�,-!v�tRfd!1��1a1�YF3 .. MKO77MR.. Addl City: Zip:, FEE SIMPLE TITLE HOLDER: Address: City: Zip: Phone: Not Not Applicable 1^Irr:�,.i�7Gi Q`11T1©11..Ip2 irl(<Gii'All�!r,Lrtl,��f_ YID Diu �trti 141 �. f..513. TRI'l"I"N L'u�i?t MORTGAGE•Applicabled City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Address: 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 cornmencing work or recording our Notice of Commencement. •gnat re of wn Agent/ Lessee/Contractor Signature o'f Contractor/License Holder STATE OF FLORIDA (� / STATE OF FLORIDA �1 COUNTY OF )_ 7 li�! COUNTY OF li �e &-a-/ The forgoing instrument was acknowledged before me 20 by The far oing instru nt was acknowledged before me this day 20� by of �( 9Olil� this/2—dayl/ of�1� zero%7 A,ci-7� ruA/�✓ (Name of person a nowledging ) Alignature:��cfWtary (Name of pers ack'owledging) !g ure of Not Public St a of Florida) ublic- State of Florida) Personally Known Y OR Produced Identification Personally Known 1-110 OR Produced Identification Type of Identification Type of Identification YP SHERRI FEHLMAR ^•��t Produced �.arPoet� SHERRtFEHLMAN F GCi18716Q Produced °` Commissbni1GG187160 Commission Commission, No. c� March14,2022 % March 14, 2022 Commission No. 9 po' �awynxonns+� OF fL �''OF ��O BdWeCTIw BW9elNora�YSerrka REVIEWS FRONT ZONING SUPERVISOR PLA S VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW EV REVIEW REVIEW REVIEW EEIVEDEPLETED F f 2o(r6 Rev. //2U14 1 G