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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: —1 C+^npiA' rmit Nw EB 0 st, Lucie county Building Permit App 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 TYPE: Address: rl_D L -©D O RECEIVED tion JUN 5 2019 Permitting Department St..Lucie/County, FL Property Tax ID#: I31\--ICE1 - OO1-;5-ono -LA Lot No. Site Plan Name: Project Name: Block No. Additional work to be performed under this permit — check all that apply: Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric ✓lumbing _Sprinklers _Generator ✓Roof Pitch Total Sq. Ft of Construction: PalaCp Sq. Ft. of First Floor: Cost of Construction: $ r2 �y, C)cfT^_I Utilities: ✓Sewer _ Septic Building Height: OWNER/LESSEEi'rxj '` 4'CO'NTRACTOR� e+z.._.•_�c. .l.a35!�i,t3 d... r.«:S. ..rt_, it.. ,{.tA�._. ,' 4 U'�.•y�,_�,y:.e..s. a� ti.i ��: '_'i° mi �y,X!� c�-&;`r^S`�. �s Name A.da=HomesofNodhwestFlodda,tne. Name: AdanisHomesofNaOrwestFkxida. I lam Bry A Address: -3=M� ��u4 ypy= le. Company: Adams HanesoFNor1mest Flaln edd= W. 'RO " City:! �ct State: P — Zip Code: 32563 Fa0D•934 5533 Phone No. 85b • q54. CILM Address:_� C rF 19a.4• City: 94!LE 6KQ t_ State: �L Zip Code: 3 3 Fax: • '934. SS33 Phone No f�g0.934.OLNO E-Mail: PS192fm;iS@WM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail \9R20ndoVY� State or County License M!QILPo t5F R— ,- vogue ui cunsuucuon is pesuu or more, a reewnueu Nonce or commencement is required. If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement is required. SCIPP MEN%E N Rpi 1°A INFeO ATIO � MORTGAGE COMPANY: x �� s s Applicable DESIGNER/ENGINEER: _Not Applicable Name: Name: _Not Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: _ Zip: Phone: vvvIvcn/ 11-ury I MAY. I UK Arrtuvl l: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work dr 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCFMENT_" � �fZesdrnfr s� Signature of Owner/ Lessee/Contractor as Agent for Owner Signature STATE OF FLORIDAC � STATE OF FLORIDA %) COUNTY OF llrp COUNTY OF %afu7 .its sfv The forg�oing instrument was acknowledged before me The for oing instrument was acknowledged before me this 3 day of tr %e4 204 by this yT day of lJ�,f — 20_LCI by William Bryan Adams IOt,Q William Bryan Adams r C"i5pliw, Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Type of Identification MY COMMISSION # GG Personally Known _� OR Produced Identification Type of Identification SHELLEYA. SEP MY COMMISSION # —TsViature of Notary Public- Ita^N ^°fir" ture of Notary P a Commission No. j3ra2o"lL{ (Seal) Commission No.Chf 2074 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW I REVIEW REVIEW I REVIEW REVIEW REVIEW