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BUILDING PERMIT APPLICATION
z ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: : f I b OW / SCANNED Permit Number: � � •�Z I BY '-^ St. Lucie County RECEIVE® Building Permit Application JUL 14.2015 Planning and Development Services Building and Code Regulation Division PERMITTING 2300 Virginia Avenue, Fort Pierce FL 34982 gt Lucie County, FL Phone:(772)462-1553 Fax:(772)462-1578 Commercial _ ; Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III PROPOSED IMPROVEMENT LOCATION: Address:I09,01, vaukh flteun Llrvy2 ,Tensen t�e�rh FL 34951 Legal Description: Ver,fvre /jut - Ser+'&rn C-'Tlzae.f OniF_ e0R-p-go-I408) Property Tax ID#: li5II - 805-0000-of0-5 Lot No. Site Plan Name: Venture Oui" - 9)Ee-TtON C Block No. Project Name: Vew6ire- 1I - LLu.L,I.ousP Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Re -Roof - Tear o-K cm6hn� Sh)ngLcs, Install Aew shlnclles CONSTRUCTION INFORMATION: III HaamonaiworKiooe errormea unaerinispermit- cnecKau apply: 0 Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors 11 Electric 0 Plumbing Sprinklers 0 Generator © Roof Total Sq. Ft of Construction: % / D D _Sr So. Ft. of First Floor: 3�z Cost of Construction: $ 33, HL 6.00 Utilities: Sewer E]Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Ven+ure -R2 TA4r-. Name: TQne;e, r_icen Address: 10g01 5 Deecn'Dr%Ve. Company: 5unsh,ne_ Raf4inn IJC City: Tehe PA RdriP In State: � L- Zip Code: SLM S'l Fax: Phone No. rl7 0A - q l q- rl31a 8 Address: 'Po I30x I Os 3 City: f n_lr titr. State: Ft - Zip Code: 3 Lfgq l Fax: rf IA Phone No. 9 q A - A60•'8ig5 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: 'sungh,he wf IIr pn mn, 1.Bom i State or County License: t' le 13 a'1h91c If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: &d //P.LCY ame: nr/A Address: /494 sw sr //0 Address: City: Po r± 57— ,weir" State: Ft- City: State: _ Zip: 74 20/ Phone: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: W�/1' Name: rJ1A� 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 permitholder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrictor 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 STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 5r t_i xye COUNTY OF M AR i IN The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thisJL4Ldayof T.1j 20 lC,_by this I*- day of oul y 20 1.5 by tkei;4 l3rwsen Tarnle Clseo (Name of pe on ackno edging ) (Name of person acknowledging) r[CkftLn, kltnnrtz Me{ir/trtn rteAAl-A A0 "' P mq"" (Signature of Notary Public- State of Florida ) (Signature of Notary Public -State of Florida ) Personally Known OR Produced Identification Personally Known _X-- OR Produced Identification Type of Identification Produced Ft_ 'brrrars L, , r n se Type of Identification Produced Commission No. i rf to to 4i"!�Z @al)VCrOIIIAO NNE MCKU I@pmmission No. 0, �«:: °4e (`"UMWEM M" * JRj� * MY COMMISSION I EE 2100, * MY COMMISSION#EE214688 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE 2S INITIALS