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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMi FOR APPLICATION TO BE ACCEPTED Date: U\ Permit Number: 4 RECE1'.'__.0 �L_J' 0 3 2016 ENNUI" 09M Building Permit Ap 4) Planning and Development Services Building and Code Regulation Division t 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial fR251d2Rtial PERMIT APPLICATION FOR: NNI11 REUNION 010-16,01 Address: q cv mp i4 3 -rrz Legal Description: o PropertyTax[D#: ri 70 -Z L5 01, 0 ot W, Site Plan Name: tD C--LL-' Block No Project Name Setbacks Front Back: Right Side: Left Side, Y_ Iz - 'AdClitional w _Mechanical "eratory Electric Plumbing G Roof _Sprinklers Total Sq. Ft of N Sew Se t,_ ,.� Cost of Construction: $ Utilities: Name A. 7 Name: company:' -`f'3 fll Addres�j:' IFS eii+&Izszbeac� P-0 City: c4 M eL, 6 C tL It State?,'F( Address' City: Zip Code: 132.rt 3 4 Fax: Phone No. 0 9-1k "I Zip Code: F Phone No v E-Mail: NINM I TC Wi-(OlL &5,it (_6 RlkC-TIO oil Fill in fee simple Title Holder on next page (if diffeMnt""' E-Mail State or Coun t e from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement Is,r,equK1d LOU DESIGN %/ENGI NEER: Y,' Not Applicable MORTGAGE COMPANY* Not Applicable Name t t Name: Address Address: State: City: State: z i P.,-6 Phoned Zip: _ Phone, I 'FEE SIMPLE IThE HOLDER fl of Applicable BONDING COMPANY: _rZNot Applicable Name: AAddress1=.Address: Ot y: City: _-z i 06�: -7 Phone T`� Zip: Phone: N _21 Application is hereby m ade to obtain a permit to do the work and installation as indicated. �'14 Neb� A `Rfy4V6f n qW0 nced prior to the issuance of a permit. 1,kok.iffst5flation-baslet St L ciend:reo e- ntat'lo"nt " ThWfis granting a permit will authorize the permit holder to build the subject structure - '�Cciunt--�o�ake's' r'se- - , such *.Hornd'.Owners that restrict or F, hidKis inrco5I10iii4ith'any -applicable Association rules, bylaws or and covenants may prohibit With yd'OVHbffi6,,OWeiersAslociation and review your deed for any restrictions which may apply. --t t ested,&rmit,hclo hereby agree that I will, in all respects, perform the work of h J IT �SK466&61M& Jtht6e--a-ppfovedp'-Ia Rh11NIcri&6uiIdirigCodes and St. Lucie County Amendments. --.thdfo�16WI-nl�b6ildihi�iibfr�it-from'undergoing a full concurrency review: room additions, io0aaccessory`structur`espswimmYlSg " C 01i fences, walls signs, rooms and accessory es to another non-residential use poo , screen y result in your paying twice for be on the jobsite improvements to your propeftlt�Notice of Commencement must recorded and posted y teore thefi�st msp}edlon If youiin erid to obtain financing, consult with lender or an attorney'66fore Signature r/. �War as Agenffor Owner Sig ature ofit ontractorAicense Holder -OF111b RI �STAXE; 14 STATE OF FLORIDA 1W, :$;Zk ly Ir COUNTY ;QUNTY OF AIK WWA P 31; p"AEN The 999 before me e forgoing instrw nt was acknowledged before me 59AP <11 -,ofK� 4M - ..r _e fcclay of -3p%JL:1 20 _Ito by %) q(Nime'tif &fibnzi I (Name of person acknowledging) T! of Notary lblic Stateof is a KI (Signature of Notary Public- State of Florida ducefimidWfication b�'� 41 vdi Iw Pr e V n 1,/� , il , _0 Personally Known OR S : _# % .001? eirf DR4, 400f-Wrl tification Type of Identification N0TARVPtjI3UC A Produced TE OF FLORMA 4 .V DA , Commission N 0. C 927 EW 110/2020 7 w. 4 MAV�� VEGETATION SEATURTLE MANGROVE lzo, UPERVISOR PLANS REVIEW Ell, EVIEW REVIEW REVIEW REVIEW 0ATZ'Wif % - 7M I Ze07,42% OF -I- All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED' ci q Date: Permit Number: +- OUANNED, RECEI'.'-D SEY S 20111�Y t ' Sit. LUCie Countv - - - -- -- Building Permit Application) Planning and Development Services �A J�[►{rp yt� \ n Building and Code Regulation Division /� s : � N`— j� •v' 1 t cc l 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: e in r o r Address: Z.QDD /AjDpi3`rrL /►c �3� �jT Legal Description: 8 f PropertyTaxlD#:_ 0 Ilf2g-70z-15Z)/,-00./i Lot No. Site Plan Name: r '¢An�5CidLc- C.C;Aji'f- tJr-tn'LF=Si(-��C,TId�+ ILC- Block No. Project Name: n%c7i9QLJ_6 e"a N-Cq CD t-%o tip i atic-E Setbacks . Fronf Back: Right Side: Left Side"'r_' nJ �Si1 R7 Haamonai work to ue perrormeu unuer inis permit -cnecx ani itJ°_' r _Mechanical _ Gas Tank _ Gas Piping _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: 0 S50 L f- Sq. Ft. of Cost of Construction: $ cl -4-t'0 Utilities: —Se _ Windows/Doors Roof ). Building Height: 4 i �01NNER'�aESSfE�•• GONTRTA�'' Namerli".ByltJlr�6�r` 1 L Name: ® ' v.,.rfrr,Y Addres3 r3�S;r?:�fF�4LOG� FLU Stated. L- City: {3 M r;L gO u QaLt M% Zip Code: a?J2C(3 Fax: Phone No. Q3 Z((r 7-&- 0 571.16 Company:`• :10(1 c+,.,,;,, s Address:e. (e• _ [. '--rr�t S ii City: �9y isL `.0i.c� E Zip Code: le-MIMAW Phone No . .' Mid State: Fax: L C il(e L E-Mail: NNgI p QTC W 14oLG 5%&6 RWG('1ii d Fill in fee simple Title Holder on next page ( if differ not`+' from the Owner listed above) E-Mail h, 6D;.gjZ.C-7Utk� �r eOt9Tli ,G2 State or Coul 4icense C 13L 1 zS=6 5 a b . If value of construction is 2500 or more, a RECORDED Notice of Commencement INFORMAyTI,QN; : DESIGNER/ENGINEER: V Not Applicable MORTGAGE COMPANY_Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone/ Zip: Phone: FEE SIMPLE 7, IThE HOLDER:Applicable BONDING COMPANY: _I/Not Applicable Name, Name: I Address: I Address: City: I City: --zip: T Phone.Phone: — Zip: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installatio'k has commenced prior to the issuance of a permit. St. Lucie Coun authorize the permit holder to build the subject structure %makes no representation that is granting a permit will autl which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such stvucture.,PIea§-e—consult with your Home OwnersAssociationand review your deed for any restrictions which may apply. In consideration of the granting of this requested permit,l.do hereby agree that I will, in all respects, perform the work in accordance with the approved plans_,-t , lie Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, I accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use "r —) WARNING TO OWNER: Vour failure to,Record a Notice of Commencement may result in your paying twice for improvement§ to your prope A Notice o Commencement must be recorded and posted on the jobsite before the first inspection. If u intend to obtain financihg, consult with lender or an attorney before commencing work or recorclik your-NoticeofCommencement. I�D a�.�.�, \ I ~ ••_tea L`� Signature of Owner/ Lessoe—Mofifri-aor as'Agent for Owner Sig tdYe flCoritractori- icense Holder STATE OF FLORIr A4 STATE OF FLORIDA-K,, COUNTY OF COUNTY OF The _f in insthumen,was ackhowrcged before me T�e forgoing . nst ru_TDent was acknowledged beforeme this day 6, 2410 IL, by ths day 'T - 20 fAby (Name of person acknowledging) (Name of person acknowledging j>(sjgnai yre of Notary ublicState of Florida) (Signature of Notary Public- State of Florida di9fication lilrsonblly'Knowni"- OR Produced Identific tion Personally Known ORIP duce&., M tio T� T,ype-'of1Idei4'tifichti n Type of Identification NOTARYPUBLIC c e 1c; , Produced ,P� MT Oi�du'..d?,, E OF FLORIOA t,,,OFFLORIDA "927 Commission No.. =T92 7 Jz..J � is PNa" - A.? 4 0 -1 *4 rw� I i 1% 1 612020 20 I �Rlw 1 REVIEWS 4R b 'CO^UNTE�R ZONING,t . �LJPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVI m PEVIEW REVIEW REVIEW REVIEW 'REVIEW DATE4' ECEIIO�E DATE '71 jJ COVIPLET�,[)�, WzLIP ,,,Kev.