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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: BY St. Lucie County Nit Ift, RECEIVED Building Permit Application Planning and Development Services AUG 0 9 2019 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permittin Phone: (772) 462-1553 -Fax: (772) 462-1578 Commercial Residential PERMITTYPE: 1.P9dPOSEDJ_C."N`PROAMF� T:� TION'. Address: [thICA sbcti 5a( FU -SA-qu_ Property Tax ID #:,3L14E3SCR i_now-cc]CER Lot No. Site Plan Name: 01 — Block No. Project Name: 7t-Y9Q bET�. IL'E'6'_QESCRIPT Additional work to be performed under this permit— check all that apply: —Mechanical _Gas Tank —Gas Piping _Shutters —Winclows/Doors — Electric — Plumbing Sprinklers — Generator __X Roof —412"tch Total Sq. Ft of Construction: Sq. Ft. of First Floor: lic10_0 Cost of Construction:$. Utilities: Sewer Septic Building HejgF t: -OWNER LS IL , SEE� Name Y Name-R�Cmal-ci (_bJJC+b Adc1ress:312A_ hzq Company: LC 00 V, City: State: -EL. Address:(91C)I--'Pi)CX)cLfnn--I)r-)-\ e: Zip Code: ?)4CN�-L- Fax: Phone No. C State:�Z_ Zip Code: 1�14-Cj'�_;> Fax-._l7R_7_CP+(7516 Phone No Rt-)SC) E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail — 1%1 C_Y-) ) cnp I I State or County License 29-1 (QPLJ it vdiue or cunstruuion is>zauu or more, a Kt:LUKIJLU Notice at commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. aurrtlyltiv Irac;wlv�7 KUc hICJN LIEN'LAW INFORMATIQN DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY _ Not Applicable Name: Name: Address: Address: City: State: City: State: ZIP: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable City: Zip: - Phone: BONDING COMPANY: Address: Zip: - Phone:- _Not Applicable vvvimcrc/ a,vry r FWAI-I UK A"IUVl1 : 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: 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 commencine work or recordinL7 vour Notice of Commencement Signature of Ow Lessee/Coot ctor as Agent for Owner Signatur of Contractor/License Holder STATE OF F O A STATE OF FLORIDA COUNTY OF COUNTY OF The fo oing instrwment was acknowle e be m� this day of "jam 1Q 20 by The forgoing instru�{ent was acl nowledged�?efore me this Z. day of t 1i�1_ 20_" by Name of person making statement. Name o� f person making statement. Personally Known --\\/— OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced {Signature of Notary Public-S (Signature airy Public- 5 tatp—ot F on ak THERINE HAVENS Commission No. .. KATHERINE HAVENS °�°r ��^ (f§pjl7MISSION #GG165030 Commission No.DEC �"�� MY COMMISSION #GG165030 a EXPIRES: DEC 04, 2021 Bonded through 1st State Insurance 04, 2021 Banded through tat State Insurance REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW EDATE I DE ev.