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BUILDING PERMIT APPLICATION
ALL APPLICABLE INFO MUST.BECOMPLETED FORAPPUCATIONTOBEACCEPTED (� Date: l J -I'7 SCANNED Permit Number: BY St. Lucie Counts- RECER EED Building Permit Application MAR 1 y 2017 Planningond pevelopment Services Building and Code Regulation Division PERMIT-TING 23001/1rginiaAvenue, Part Pierce FL34982 St. Lucie County, FL Phone: (772)462-1553, fax(772)462-1578 Commercial x Residential III PERMIT APPLICATi0N,F0E2: Electrical -11I .Address: Legal Description: cOr4Cm 8621hsee or"317SiysaaltotaawNSal aoflot? WidE10tv0CaVayedlonW(spt27QMor(37*273), Property Tax ID p: 1425-701-0167-000-0 Lot No. Site Plan Name: N/A. Black Na. Project Name: Gallium Townhome Association Setbacks Front Back: RightSlde: Left Side: Add Electrical for Elollard`type lights for walkway fed from closest House Panel. OGasTank Elias Plptng gShutters O Wlndows/Doors O Plumbing OSprinklers Generator O Root , O Roof pitch Total Sq. Ft of Constructiod: Cost of Constructiorr. 5 1;933.00 FL of First Floor: Utilities: SewerOSeptic 'Building Height: CRy.- Sebastian State: FL Piptode:'32958 Fax: N/A Phone No. N/A E-Mail: N/A FlR In fee simple Title Holder on next page I if different from the owner listed above) Name! KenC6aoraencK , Company: Tr[ -City Electrical Contractors, Inc. Address: 430 West Drive City. Altamonte Springs State. FL Zip Code:, 32714 Fax: 407 788.8007 Phone No. 407-788.35DO E-Mail: Rance.Bprderick@tcelectrimoom State or ceurity Liwnse: E60000981 �SU�f?,LEMENTT�,L'��ONSTRUGTI©t�lEb1�L`�Q,W�INF,O`Rfv1;4TlQN:;,�,�'a�f� �'y;,;'kRr��.`�'�,,p DESIGNER/ENGINEER: x Not Applicable Name: MORTGAGE COMPANY: x Not Applicable Name: Address: Address: _ City: State:_ Zip: Phone: City: State: Zip; Phone: FEE SIMPLE TITLE. HOLDER: -X Not Applicable Name: BONDING COMPANY.: X_Not.Applicable Name:, Address: Address:_ City: City: Zip: Phone: Zip: Phone: I.certify that,no work or installation has commenced prior to the issuance of a.:permit. Ifixorisideratlon of the granting of this requested perrrift; I do hereby agree that) will; inall respects, perform themork 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. Recor otice of Commencement may result in'your'payin wI fi improvements' to your property. A Notice, Co" mencement must be'recorded.and posted o . he'j b: before the first inspection.. If you intend obt n financing, consult with lender or an attorn bef re 4' STATE OF FLORIDA STATE OF FLORIDA COUNTYOFiM111©�Q. COUNTY OF,rvltin6�F. The 'forgoing, was acknowledged before me;. thisly`. ayofJj� 201Zby The for gging'ins uum�ent was acknowledged before me this day of " Y�LI 11�A� Personal) Kndwn V y X OR Produced Identification 'Personally Known %� OR Produced Identification Type of Identification Produced Type of, Identification Produced 'Commission Revised EXPIRES February 15.2019 Cornmiss'ion MY REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS