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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �/ : 0Z — O 103 Date: SC BY ED Permit Number: J=lam St. Lucie Counts ' Y ' FEB - 9 2015 Building Permit Application Public Works Planning and Development Services St. Lucie County, FL Building and Cade Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial C Residential_ PROPOSED IMPROVEMENT LOCATION:` "� I Address: /(I Legal Description: Property Tax ID #: Irk 2S ©Ir! Lot No. Site Plan Name: , A Block No. Project Name: 7(1X'TLF /zF�� Cc9/�flC�IU�/JI13/� Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION: OF WORK: Gonl�i�� is/oGf9-T! a�/ 5 UA/i Ts /031 CONSTRUCTION INFORMATION:' Additional worK to De nerTormed under tispermit—check all apply. 1:1HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: OTOD , oo S Ft. of First Floor: Cost of Construction: $ OD Utilities: Sewer 0 Septic Building Height: T �..1, .OWNER/LESSEE: , CONTRACTOR: Name P O� ti Name: 05,/,/rC Address:/0e00 Srv(_i�hN D4 Company: Llie Cm1'V5T— CwhS7-9 C711t) City: SP41 PJPQGY7 State: L Zip Code: % T Fax: 742— Phone No. Z 22%^ 1222 Address: 2sL� / 4� f 4-0R f % City: S9 fJ 69:7� ZipCode::314 -71- Fax: Phone No State: L J92-28?-F3 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: IPLUI-. Cr�04C Ei! MQ IL,.Co✓1 State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is requlrea. ,SUPPLEMENTAL CONSTRUCTION LIEN -LAW INFORMATION: DESIGNE GINEER: Name: C rNGI��f _ Not Applicable MORTGAGE COMPANY: Name: Not Applicable Addres St:7DUG� /!u!y Address: City: S ,ri 2-j— Zip: 34�_ Phone: 79-Z State: -�� 7, f) City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: Not Applicable BONDING COMPANY: Name: Not Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: 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 contlict 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 _ Sighatef,WD�qner/ Lessee/Agent Signat ourb f b a se Holder STATE OF FLORIDA CA— L' kC� STATE OF FL COUNNTYYOOeFO�RIDA� COUNTY OF c� The Bin inst men was acknowled ed b re me The fo Bing instru t was acknowledged before me this May a W�s 20 by thisKNday of np-Ap . 20 1:57by (Name of person acknowledging) I (Name of person acknowledging ) Personally Known Type of IdentifRal Commission Revised 07/15/2014 State of Florida ) 1 A L(Signature of Notaljl Public -State of Florida ) OR Pro ced I Rti Iccaation ✓ , Personally Kno e1: _ 0 - c, �ff ijic on oce -- Type of Identi rcatFq_{! Prodyr�u„ ��„ • • c is� Y; rn<dt'- EXPIR S: April 12,2015 AN COI°..t!So ON N EE 093530 ^y.., x`a PYaInES: April(S,0A)b Commission bonded Tlw No�ryPumict rs "Bonded TP,ru Notary Publ:r llndsr Oers REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE , COMPLETE INITIALS