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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE CG . $ETED FOR APPLICATION TO BE ACCEPT,_ � Date: e.L:fVII Pr I YJ .t lkl! .'il dlil IL roll lli IIlII�IJa, n. I"4�'ylii��l llpl��! n �I IIn &i 1'� i il.. !'I.I•�I Ili tit V�, Permit Number: 1 0q. otiya SCANNED BY St. Lucie County Building Permit Application 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 PERMIT APPLICATION FOR: Address:_ Legal Description: Zcio t RECErvE,. APR y"q,u19 Pesi�Q Do o Co �tyent Residential Property Tax I D #: 3 z 11 ^ 76 ( — Coo z* cacDDa' 9 Lot No. ZrJ Site Plan Name: Block No. Project Name: Setbacks Front Z3q Back: Zsi Right Side: ZCO Left Side: ISS (.' R-Z echanical _ Gas Tank _ Gas Piping _Shutters ✓Windows/Doors ✓Electric Plumbing Total Sq. Ft of Construction: 339 S Cost of Construction: $ Sprinklers _ Generator �oof Sq. Ft. of First Floor: 10� Name -3AmC-5 L3el4ez07 Address: 33 \ 5E City: ?64T \j�: e, State: Zip Code: 34SBCj Fax: Phone No. %Z- 340 - QCA1 E-Mail: Utilities: _Sewer X( Septic Building Height: Z- Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: K61s V rlYFV.o,10 Company: T4 011 Address: City: t ciz k '�� 6g-e-6 Stater Zip Code: Fax: 7?Z- 466-03ZS Phone No. 7�Z- �'7�,- t3(b( E-Mail: r AYY ay�kJ Z @, Zekk SoJ Tt4 State or County License: C(Zt 13? � 7-q�3 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. amn DESIGNER/ENGINEER: N tApplicable ?AUI2.,/ Ic�IA Name: STe-U� I.TCPUS'"� �(P MORTGAGE COMPANY: NotAp licable — p Name: CnA,s; �10.Tio,jnl 3n rl Address: !©710 SLJ bJcS; nwcl $Id�j Address: 3SD krnl�rz Sr, Sete zu City: ?6u Si 1,.. * State: �L Zip: 3gci 8 i Phone: 777 %SS- 0 City: 6T")Xx State: Fl Zip: 349et Phone: _ 8W->Ob-99g t FEE SIMPLE TITLE HOLDER: t/ Not Applicable BONDING COMPANY: ZNot Applicable Name: Name: Address: Address: City: City: Zip: Phone: 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 Count, makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conff ict 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, accessary 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, con er or an attorney before commencin work or recording our Notice of Comm encem o� nat'!uafOwnerj gent/Lessee Signatur of Contra or/License Holder STATE OF FLORIQA, COUNTY OF STATE OF FLORIDA COUNTYOF The fo�r,�q ing instrument was acknowledge before me this LURclay of S Y�� \ 20� by �— The fo,`rggoing inst ent was acknowledged before me th )� day of .20 by �1o�mes C• V. is m.��-- c�Q�M�at�t� (Name of person acknowledging ) (Name of person acknowledging) (Signature of Notary PuState _o_f Florida) (Signature of Nota P1 lic>- to of Florida) . 6 Personally Kn wn " OR Produced IdentificaY Type of Identification Produced o�`"� � Personally Knowr OR Produ j ldentif Type of Identification Produced a>` ^•.®il � Commission No ----�� ''e�n, e'tl6wea� Commission No.�iEh �� m+'cwnoe Se �t REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW LTE EIVED TE M PLETED .