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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATIONTO BE ACCEPTED .. , Number:' rl.Permit NM BY RECEIVED St. Lucie Courity F' L. O Rl- G A• I Build • • • • r r r and Development r ' Permitting Building and Code Regulation Division // Virginia Avenue, Fort Pierce FL 34982 k-ro Phone:. Commercial PERMIT APPLICATION , L L� 9 ,.. S 11,�11'1�±..�'�i v�:nY1.r n.:b-:9�1 - ..T_• :{'iYll^I':1: .._d.,P`!,...'p-y _ 1,. �. 1: q.:_ . s d e b. � +All' y" �e' , 1 •!�'4;i a : 1 m Lv-�1 ii y:j(�L� 4a+a.�li = :ai"' 'ili. l la � . . §=:.:::�:L 1�( j�-�—.i ore o ,a r � 1,,,�f�.t,. ( �i;•r.!.:, _ >>..1,�:,t.4�1:�;;.,,,: �:[���, •. ��:��,f.'� �4�. N,G�iiAF;.� • I / /— • / / Legal• - • • 1q / .I / • i BlockSite Plan Name: Setbacks Front Back: Right Side: LeftSide: •'I�{(�� �..,�..:.' P.. i 0 Y¢'.-;.va,'''%,�. C._L. ..0 may. ,yr(±� :x'Zf�a;xi?(.}1FIic,1'=.'f.1. In,l...2iL•inlu:!K:d}:..±5:_.i,:e�n.r_:-Y.� ;,::,. 'a ., ':v h:a:!:v ?T ::... 1r,-;�-: .:.4-:,(<: �yy Ay d.ai±�ih'f''F'.^ /, ,,a:, ,.�1..1.,. :i1,+li-e 'iFi': ic,'_.:"'��r::°;C` 1'!'v:: ,il:a; J? �si,. MOREh�re�,�,'i��x,17,;1 ..t.,,tti:,.ii?a.1gv. .ylJiiy.L:'1.°t';hl i".��...k ;y i4. a�1i:n 'i±.. _ ow � ; =sv.at7 .... �;. I;:{sr��1.: .:y: �1t"yTv±;'7I �`Y, �sY`n{ x:�a- !�:4: •.Ekr',,4j—";.r,l �o.1 .i.i 1„141 '::q13r-I... � t� �i. t,i it :vi"�i! !I t�E'rg`' �rx,>n;�n:.�,e:',,{YIfi i�§�laT::a1 i;::;t.1W�(-0`�;l,'��*,r.rfaid��I:r:1t ,�. t O. a .1 z, i v© f` .•;,is;©ai°'HIP, - au,o�'��i.h,'7Nfi.��.S...4�(±•�F', j �4h"�i L•n�l'���lF{I��``.�� Ir':w v�.i 4"'� HMI, I,)'{QV 2" I, IY"1' �� Sl�iv.11ltsdtl� 1,ifd.,• . Is-• DESIGN Naml� ENGINEER: _Not Applicable MO TGAGECOMPANY: ..;. Name:'- — Not Applicable Address: / Address: City: 1 Zip:; 9 � 2:Phone 24�-dot_kv State: `City::iI t Zip: Phone: I State: FEE SIMPLE TITLEHOLDER: Name: — Not Applicable BONDING COMPANY: Name: —Not Applicable 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 andcovenantsthat 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 mmmencine work or recordine vour Notice of Commencement. 0)(1.bAhg 44k,-% /'//� ////)-) z' 'Z Signature of Owner/ Agent/ Lessee/Contractor Signature of C n fac i or Lcense Hol er STATE OF FLORIDA /! STATE OF COUNTY OF 11 �� o COUNTY OF 4 1��/ LOJ The f rgoing instrum r t was acknowlecig efore me The f going instry � was acknowledge fore me day /1�1� 20y this day of� 2by this of Al (Na of p/ on ackn wl ging)-- ( m�person ack o Iedglnfl l I Sig ure of ota u is -State of Florida) (i nature ubiic-State of Flori a �/� Personally Known OR Produced Identification T Personally Known OR Produced Identification Type of Identification !� / Type of Identification SHERRI Produced v `ra, SHERRIFEHL" Produced t0'YPVBG GG'187 o.—sir— � • '• Commission#GG187160 � . Commission#GG 2022 Match Commission.No. �y March'1144.20 Commission No. '�oF�opa as ( Ncmn ' c` gdidediM�aud9� '�OF . FIPP REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 7/2u14