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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COPAP"ffiETED FOR APPLICATION T J BE ACCEPTED kr 9> o p s- Date: ��!' / `'\Permit Num LIIIIIIIIIIIIIIh L SCANNED BY St. Lucie Countv OCT 2 4 2019 Building Permit Appli p&14Mting Department Planning and Development Services St. Lucie 7CL, FL Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential PERMIT TYPE: J:)O C k 4- F50 Ps Z/% P--y PROPOSED IMPROVEMENT LOCATION: Address: 1-L 1 %\ Property Tax ID #: 1 �- L/ "' ©� v Lot No. _- Site Plan Name: IMG Block No. Project Name: Additional work to be performed under this permit -check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters Electric Plumbin _Sprinklers _Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Cost of Construction: $ 0 . <W Utilities: _ Sewer _ Septic -Windows/Doors Roof Pitch Building Height: OWNER/LESSEE: CONT CTOR: Nameklk' Name: } Add�r��s�s:3 N L- City:rF},—Jg/L C ttq I Fri State: WA Zip Code: ?"-qo Fax: Phone No. Company: Addr 5 City: State: Zip Code: O Fax: Phone No iZ 3 • j.Z E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail State or County Licens Vr CVIIDLI VCuVlLm-g4OUVwl-1uvlgd-nCUUnVCY IYYLRC"U1 UUTFIFT]e CPJIlCl1L-18TCq of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: J��t0.910 i2\Mans MORTGAGE COMPANY: Name: 4�t Applicable Address Address: City: 1 rr C.-i.\ + State: Zip: ?j`,AqqU Phone City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: of Applicable Name: BONDING COMPANY: Name: _ of Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work qnd 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 WITIjkYOUR IKENaER OR A ATTORNEY BEFORE RECORDINGnYOUR NOTWE OF COMMENCEMENT" :nature, :Owner/ Lessee Con ra or Owner lSign ure of Contractor/Li ense Holder 'STATE-OPFCORIDA SETA ELF-FLORIDA C L OUNT_YOF' Qcs--hYl COLIBLT_Y_OF-' Mrl),f-rl'd The forti5ng instrument was acknowledged before me this May of �i! 2013 by The forgoing instr ment was acknowledged before me this /3 day of 2019 by �;Qte � Name of persoWmaking statement. Name of person making statement. gs Personally Known OR Produced Identification Personally Known V OR Produced Identification Type of Identific tion Type of Identification Produced I Produced �SORIf''�• - ,' {Signatufe.of ota y.P_ublic -State" f.Notary Public= tate of El ida� N O'•. 9• Commission NOo�i(S�iD`i LINDAFER7bl�' _° E " State of Florida-No 'a GGT?':Si Is - , Commission S GNo.My CommissionOctober 22, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION ' bZZc SEATURTCF,,,� GROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW r�� REVIEW DATE RECEIVED DATE COMPLETED Rev. 21 // 19