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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q t' Date: Permit Number: I� 0' n T(o� SCANNED BY St. Lucie r i ink RECEIVED Building Permit Application AUG 2'Q 1019 Planning and Development Services Permitting DeParfinent Building and Code Regulation Division St. Luc 7 2300 Virginia Avenue, Fort Pierce FL 34982 ty Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT TYPE: r Address: w PrY �N p PropertyTaxlD#: /30/ (�/3 (�/Z� OOOp Lot No. Site Plan Name: Block No. L? /3 Project Name: e IfieYemeva-E a 1?9e-e fine DOoPs wih 2.. , )'ern a2 ppyks y Ado lW lv 4 4 �gEl vi 9&YA A6 hoe Additional work to be performed under this permit —check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _W/iadews oor _ Electric _ Plumbing _Sprinklers _ Generator Roo Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ eq� 9�v Utilities: _Sewer _Septic Building Height: Name P'64 7r Name: JU C�E01 / Address: TWO Company: PD A7 !/ �r.� 7�/ Ind- City: �� / 2FGP State: / Address: I l s- &h&m s Zip Code: �_ Fax: City: FP& p/PtiLe' Stater Phone No.77% 1/2 l M Zip Code: 3�- Fax:W2 Oi E-Mail: Phone No Fill in fee simple Title Holder on next page ( if different E-Mail ivv 00 V IOWA from the Owner listed above) State or County License PrL1,5'�2� If value of construction is $2500 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. 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 POSTP ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YPU INTEND TO OBTAIN FINANCING, CONSULT WIT OUR LENDER 0A1 AN ATTOJRNEY BEFORE RECORDING YOUJI1 NOTICE TICE OF COMMENCEMENT." e Signa re of Own /Lessee/Co ac or as Agent for Owner Signatu kof Contractor icens Holde STATE OF FLORID STATE OF FLORIDA COUNTY-1 a COUNTY OF 'SNV The forgoing instrument was acknowledged before me thi�Sday`of20L by The forgoing instr ent was acknowled ed before me a this2 day of 2by Name of person making statement. Name of person making statement. \` Personally Known OR Produced Identification' Personally Known OR Produced Identification Type of Identification Type of Identification ProducedL Produced��Q� ��WiSnakureNotary Publi tate of Florida) - nature of Notary Public -State of Florida ) Commission No. ;•,:+si>.'�%'•.; LAS INGRAM-RAHMING I�5 •<�'�° `'• LASHAH Commission No. =�=.i}tM-RAHMING +.� MY COMPdISS10N # GG 275060 ,i ,; MY COMM SSION # GG 275060 =ec gi EXPIRES: December'20, 2022 `-:'v., 's`; EXPIRES: Decem u "Z 'o�,'�; Bonded lbw N bury Public Unde ters ended Thm Notary I Vb1ic Undervnitors REVIEWS FRO PLANS VEGETATION COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.