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BUILDING PERMIT APPLICATION
ALL APPLICABLE INFO UST. E COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �� Permit Number: 1 s n vi Building Permit Application SCANNED -Planning and Development Services BY St. LUCie Building and Code Regulation Division Counts 2300Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772) 462-1578 CO ercial X Residential PERM IT APPLICATI 0 N FOR: SEEM'�+'w..'M. Eey=• qw.w .4T.^.4 dR v*n' H sttrl t 4 '1m 'Y, r�` Address: 9700 Reserve Blvd., Port St. Lucie, FL 34986 Legal Description: Property TaxID #:3327-314-0020-000-3 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: {DrE3TLt>3©ESC�PTlON©FWORK I'vxrudaFk J Y T4Y�ri`�i"� `�k r W.�bpV}t :a.l,: t.. ,'�... f",...ui ..��'he x.A-, R;�. � "ti�'{Sz''xJ:�S'�.�JM •...i', 'l.i},n�43.W.ib:' �,� il. 1.}._-u�:E.`s*1v, rrf } �:;,tis Install storefront entry door system�with transoms 2 ry' �i :'4�f,�y..tiA,}�yw ,�"t45s.�+isL 3N cs�-?�i�9`l�rA °i �.�^ i4 �rdvr�t�cs ,,�rt.Fs,� mat �t yq..,' t5,u d Y+'*�;✓",dn�yji,,x,fl'nrj'ia,., �ON5�1'�,RP�UCTI0,1'�,�INF,OaR��.�TIONF%.uc'�'�h�"��`��rin;ey,�Y"�,�r�u��M;,a��t,�t,�� itiona war to a erorme un er ispermit—c ec a appy: OHVAC �GasTank ❑Gas Piping _Shutters ✓❑Windows/Doors Electric � Plumbing ❑Sprinklers � Generator � Roof Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction; $ 14,246.56 Utilities: Dewer ESeptic Building Height: �fi3�xau ,yt'7�� " Name Reserve Realty & Investment Co, LLC Name: Robyn Lazear Address9700 Reserve Realty Company: Palm Aluminum & Glass, Inc. City: Pt. St. Lucie State:FL Address: 6601 Lyons Rd. C-9 City: Coconut Creek State: FL Zip Code: 34986 Fax: Phone No.561-302-7019 Zip Code: 33073 Fax: 954-421-8640 E-Mail:cposses@kw.com Phone No. 954-421-8572 Fill, in fee simple Title Holder on next page ( if different E-Mail: m.diaz@palmaluminum.com State or County License: SCC131161366 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. `f r G -v. c-M•-�,lyv, .�ra'ysa.«,-�:x� } rr,r �ltJ L- ENN'RAL@ONST CTION�LIEN r Pi y� .t.�i �..wr wc- a z rti�' d'x' h a e f-nr "s+ -s; ti .+ r ` W INIF®I?MA�' i7Nl, t �'� .err t f t, DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: State: _ Zip: Phone: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: 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 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 She 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 _ Signature of Owner/ Lessee/Agent Signature of tractor/License Holder STATE OF FLOIWI STATE OF FLORIDA COUNTY OF Im Wac-h COUNTY OForwsm The forgoing instrument was acknowledged before me. The forgoing instrument was acknowledged before me this _5�_ day of r1') Clu 20 1�by this __U day of ""'' 20 � by T C,hc en F. (Name of person acknowledging) Personally Known_/OR Produced Identification Type of Identification Produced Commission No. Revised 07/15/2014 (SeaIIVKMOTTAyM !! COAIMISSM R EE861979 Robynrazear (Name of person acknowledging (Signature of Notary Publi Florida } Personally Known OR Produced Identification Type of Identification Produced DIAZ �(ommissionNa.GOA-�NNIRIDA Expires REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS