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BUILDING PERMIT APPLICATION
_t- ALL APPLICABLE INFO MUST BE COMPLETED FOR APPI�CATIO�N TO BE ACCEPTED Date: f}ILooQ - ©l��}b �GiB*5_O�4y _ BY 1 J MA St.LudeCounty RECEIVED ©" Planning and Development Services Building Permit Application AUG. 0,8 20111 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 PERMITTING Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential I.=18 County, FL PERMIT APPLICATION FOR: Renovation Address: 4878 N Kingshighway, Fort Pierce, FL 34951 Legal Description: see attached Property Tax ID #: 1313-232-0001-010-7 Lot No. Site Plan Name: Block No. Project Name: McDonald's Indrio Kingshighway CYT Setbacks Front Back: Right Side: Left Side: minor interior remodel for CYT (create your taste) 0Mple+, K *%- G �1 i osk r��,�06 `(-!> CPtVSTR,UCTIQN INFOR►VIATjQN,. J Gas Tank UGas Piping "Shutters LJ Electric ❑✓_ Plumbing Sprinklers LJ Generator Total Sq. Ft of Construction: �' Sq. Ft. c f First Floor: Cost of Construction: $ Wro Utilities: 11 Sewer ESeptic Windows/Doors Roof Building Height: OWNER/LESSEE: n "�.a' "CONTRACTOR h `�,„ „ ' j i w Name McDonald's USA LLC Name: Sc ming Address:10150 Highland Manor Dr #470 Company: Nunno Builders, Inc. City: Tampa State: FL Address: 5701 Hollywood Blvd City; Hollywood State: FL Zip Code: 33610 Fax:813-200-3831 Phone No.813-630-9634 Zip Code: 33021 Fax: 954-967-9001 Phone No. 954-961-0777 E-Mail: EMCTGr _ Fill in fee simple Title Holder on next page ( if different E-Mail: sfleming@nunnobuilders.com from the Owner listed above) State or County License: CGCO06271 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 11b-14$3 ,SUPPLEMENTAL CONSTRUCTION LIEN LAW LNFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: SevanSoWfione MORTGAGE COMPANY: Name: x Not Applicable Address: 4925 Forest Avenue Address: City: Downers Grove State: L Zip: 60515 Phone: 904-61548144 City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: x 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 Count yy 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 jobsite befor a first inspection. If you intend to obtain financing, consult with lender or an attorney before cononenciriR work or recordine vour Notice of Commencement. _ Signature of Owner/ Lessee/Agent Signature of Contract /L "ense Holder STATE OF FLORIDA STATE OF FL° , n A COUNTY OF Hillsborough COUNTY OFkid The forgoing instrument was acknowledged before me this lIP'l-I day of —SjAi . 201kby Tim Chess (Name of person acknowledging) (Signature of Notary Public -State of Florida ) Personally Known V OR Produced Identification Type of Identification Produced Commission No. Notary Publk(S Pf Florida e anie Lime 91 ff My Commission FF 058992 Revised The forg ng instrument was acknowledged before me this_ ay of Zi iA 20 �(O by Personally Known �OR Produced Idertification Type of Identification Produced . Commission No. SgRI) .rs. _ iNMnrv. State of Fbdde REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE d COMPLETE INITIALS 64