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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUSST, BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 (x1 Date: ��i t' I SGANNE® Permit Number:III= BY BQUMNdivw St. LuciieCoounty EAUG - — — Building Permit Application9 Planning and Development Services mitting Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMITTYPE: RP ROPOSEDJlIMPROVEMENT LOCATION:/1 Address: 3 1 0 J , 7, .& Property Tax ID#: l3 7 �� (" ��a> �D�a I Lot No. Site Plan Name: Block No. i Project Name: DETAILED DESGRIPTION OF WORK: HK Ne-j Gc, as r �ra Eon ; St�h, r?w6o* cl CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: _Mechanical _ Gas Tank _ Gas Piping _Shutters _ Windows/Doors ;Electric _ Plumbing _Sprinklers _ Generator �, _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ % L©l7 Utilities: _Sewer _Septic Building Height: OWNER/LESSEE=: CONTRACTOR: Name T e J " SC lir n ywt, L, Name: Ar'. u I-✓ +-r rs Address: ?, �Oq %if i Company: C' t' 7'✓L City: State: i Address:.SSVO Aoc'L!ai-„c.%.: i City: —^ i[ vL� 'Stater Zip Code: Fax: Phone No. 7 3 %D ^ Zip Code: q�4— Fax: E-Mail: "' Phone No Fill in fee simple Title Holder on next page (if different -- E-Mail )(A Y—W ftp— L1 G 62 t^ —)et State or County License F L 1,345 :2 from the Owner listed above) If value of construction is $Z500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. L DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: _Zj . Phone- -- City: State: Zip:- - Phone: --- - FEE SIMPLE TITLE HOLDER: _ 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 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 COMMENCEMENT." Signs ure of Owner/ Lessee/Contractor as Agent for Owner Signat re of Contractor/Lic nse Holder STATE OF FLORID4. STATE OF I_ COUNTY OF ��_ OFORIDA The fo oing instru ent as acknowledge before me this of 20 M by The for ing instru ent was acknowledge before me this of� 20a by rf�person <` fA / Na a of person making statement. / Nae making statement. Personally Known OR Produced Identification � Personally Known OR Produced Identification V Type of Identif ion Type of Identifica ' n Produced f1 Produced I. (Signature 6 f N - t of Florida) (Signature of Notary P - t f Florida) :��`1� ` State of Fib �• "Yo, KAR ��`1 wa—i— ,o`a�,; KAREN S LSEN Commission No _s /�l f Floritl9=Nary Commission No. _ _ Publicar ;y •e Commission M GG 207484 y Commission If M co '� '� ` June 12, 20 T """ "` June 2, 2022 REVIEWS FRO ISOR PLANS VEGETAT COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.