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Home My WebLink AboutBUILDING PERMIT APPLICATIONI f �I _ r All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5`�C11� \ Permit Number: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Address: Legal Property Tax ID #: Site Plan Name: SCANNED St. Lucie County - RECEIVED Building Permit Applica� ionMAY 10 2019 ST. Lucie County, Permitting Commercial Residential V. Project Name: / -" Setbacks Front Back: 119 Right Side: Left Side: Lot No.&_ Block No. .:d:- :;t: ..Y=`n: zlq:sf;J t.•it:;•,.%!'i:il4` .t` �c,_r"�S'_'a,',',.�,'�r� .,� �i:;�;: .y .-`: I;;:fi.' :r%,.:J •!� ,�.h�:•�.t, z.ijl�+,�,(L`o;; ,y„5,rs � �3 ©•A i' ' t.©„o :.,;©,'.w e'sS i I " sl "'s tsls`Ir i �sl f It't a4i a j i n 01'�'s thMl,+x w' tm �,J kt:,t ,�,tr .•t r! �) IP r t.LG��./; w la;!1_ I f, .,.. t,t,Lii Ft . 7".uL'a:ndu.,Lftd U 11U el UIIS peI II IIL—GI MGR d I I LI Id 0IJ iJ 1y. _Mechanical _Gas Tank _Gas Piping _Shutters _oElectric k4lumblbing _Sprinklers _Generator Total Sq. Ft of Construction: l 9 6 Cost of Construction: $ se . Nan Add Sq. Ft. of First Floor: Utilities: _Sewer _Septic Zip Code. Fax: city: �-7 OQ Iif Phone No. Zip Code: 3y9-9? Phone Noq (0 E-Mail 00 J E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or, County U6nsl Windows/Doors Roof Building Height: �[&JK-]W If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. DESIGN G �11EER: _Not Applicable Name: ,CAP /� MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: ZipPhone City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable 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 County makes no representation that 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 inspAction. If you intend to obtain financing, consult with lender or an attorney before commencing work r recording vour Notice of Commencement. l/ v Signature of 0*116F ssee/Contractor Signature of antra or/License Holder STATE OF FL Q / • . , STATE OF FLORIDA COUNTY OF L COUNTY OF 1TG/ The forgoing instrum t was acknowledged before me The for oing instru n w s acknowledged before me � this 2Lwhay of Tr1 I 20_M by this day of 264 by IM111 Grn ET*0 1_e,� (Na ersonacknowledging) (N meo ers nck9n9o3Wedging) (Sig r P ie�5 a of Florida) nature o tary Public-S to of Florida ) Per pally Known OR Produced Identification7:vrsonally Known OR Produced Identification Type of Identification Dima Type of Identification Produced 1„ ' Rebecca a'.a��F, Produced o + _ SHERRI FEHLMAN "' °r �0. Commissloo uu.uuvr Commission.t es: JanuaN�jQ21 dtt • c Co ff9Aon N GG 167160 Commission No. ' E rch14,2022 Bonded ShruAaren oaN +.Eo.np4P WNWTfw&dGMNelarysmim REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.1/2014 ` \�