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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE 1 F0 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: IOA9 /g SCANNED Permit Numbirio I BY St. Lucie CoUnfi Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone; (772) 462-1553 Fax: (772) 462-1578 PERMITTYPE: ¢.net s�or Building Permit Appl Commercial 3't�Q OCT 19 2019 dOnitting Department. She Coun�yI FL Residential Address: 2 1! E P.Ot7l� be- /mTS � _- -fE, 4 - PropertyTaxlD#i �� /— SD )-- ©O© - 000- (/D• Lot No. C3 Site Plan Name: �A Block No. Project Name: r\Q'Oa �J�• Additional work to be performed under this permit -check all that apply: _Mechanical _Gas Tank _ Gas Piping _Shutters _ Electric _ Plumbing _ Sprinklers _L�enerator Total Sq. Ft of Construction: / Sq. Ft. of First Floor: Cost of Construction: $ 'Utilities: _Sewer -Septic Windows/Doors Roof Pitch Building Height: .OWNER/LESSEE: _ '" O�NTiRA`�ROR: Name �I Name: bicnis1O (50n26. o Address:6W Company: Ar-o EUc__ f-cC_ L�-C City: •-OHP Zip Code: 5 s Fax: Phone No. State: 6 Address: C 5 WeS vC2 12 City: W Zip Code: Phone No : - Fax: S -�A ci s3 Stater E-Mail: Fill in fee simpl itle Holder on next page (if different from the Owner listed above) E-Mail�gEk-i16LClrrzCi G ma L I - C} YYI State or County License EC V; 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 POSTED ON THE JOB BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:" pf ev. SUPPLEMENTALCONSTRUCfIOWO ,LA DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER. _Not Applicable BONDING COMPANY: _Not Applicable Name: Name Address: Address: City: City: Zip: Phone: Zip: Phone: Signature of Owner/ see/Contractor as Agent for Owner Si a re Contractor/License Holder STATE O� ID i �'j. �•=-LC�(� STATE OF FLORIDA� COUNTnY COUNTY OF I�ir�nti�t;agO'� The forgaing instrument at nowledged before me this day The forgoing instrument was acknowledged before me 'lL of�� 201% by this day of Cic-i0)Dt r . 20