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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ' ! • Permit NF% Building Permit Appli Planning and Development Services J,?1 1eLhrit,� f6Kk Building and Code Regulation Division 2306 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ECLUV JAN 2 3 2019 Permitting DepartrDel St�Coun , FL PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: r-A-fir 1 trio Address: I I I UU kAlkjPul II cno lluA. Legal Description: I "� y, O / , Property1 Tax ID #: 42115 t2 Site Plan Name: Project Name: S+ h ', Setbacks Front Back: _� R DETAILED DESCRIPTION OF WORK: NU ColowuCf ion sic It -fam i ►q hornt CONSTRUCTION INFORMATION: Block No.CO�.. L_IH C ❑GaGas Tank ❑Gas Piping ❑_Shutters Windows/Doors Electric E Plumbingg h ❑Sprinklers1:1 Generator Roof ©2 Roof pitch ZlJ Total Sq. Ft of Construction: I B Sq. Ft. of First Floor: J� 20 (0. 12 Cost of Construction: $ Atilities:Sewer ❑Septic Building Height: 15 OWNER/LESSEE: CONTRACTOR: Name Name: t-M^K;►. GCI D 141 Address: Hon knoaCompany:V Lyi_ 4 &w t '1�2ydO 1s!n(! City: T State:)— Zip Code: Fax: Phone No. " Addgss: 1081 SL3 211 ii City: 1-BrI . S*' � Uc : 4 Zip Code:3 A �?, Phone No. n AI/> State: r L Fax: S 3� 2 F- E-Mail:_ CS )b.'J , 0J be) 1,Tnl(;�'il•/��1 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: Fra(�iC 1 Q 115t7 n GM01 i U M State or County License: Q� C !a(, 010 ` f If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: City: Zip:. FEE SIMPLE TITLE HOLDER: V Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: No Applicable Name: ( 6 Address: City: WU14C41A 10 State' _�:L Zip: P one: - BONDING COMPANY: Address: City: Zip: Phone: Applicable 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: r failure to Record a Notice of Commencement may result i r ying twice for improvementsA you r perty. A Notice of Commencement must be recorde d po d on the jobsite befor a f' t' sp cti . If you intend to obtain financing, consult with le er or a ey before com a c' or or cording our Notice of Commencement ,y„.... ac= igna re of Owner/ essee/Contractor as Agent fo OU9EiAi Signature of Contractor/Licen a Holder STATE OF FLORIDA $ M� STATE OF FLORIDA('t_ Ln it u COUNTY OF z M � COUNTY OF O7 6 N� ¢ The oing inst ent was acknowledged before a z �T The f g mstr t as cknowledgG pefore me �ay 16 this day o 20%1 by R this of� 20 by C �TS Name of person making statement N Name of ps�o aking statement Personally Known OR Produced Identificati Personally Known V OR Produced Identification Type of ldentifFa-frq Type of Identificat' Produced Produced (Signature of Nota Public- State of Florida' v (Signature of No %0. ; ftjFIQ.*kl) g� Commission M GG 034755 Commission No. (Seal) Commission No. .-E fresSeptem*L%J020 '+:,'o��°.+ Iiande7TAmTmrFaminwnnee80D«"57019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 JI