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Home My WebLink AboutBUILDING PERMIT APPLICATION1 All APPLICABLE INFO MUST BE C Date: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772)462 FOR APPLICATION TO BE ACCEPTED SCANNEDPermit Number: I ` V`� 0 BY v3.LucieCou�"sPEE D Bu�Iding Permit Application APR 2 d 2017 `` c!S'rt. ikjceie rCaunty, ir-J . 8~-. COn�amercial Residential - PERMIT APPLICATION FOR: fju; 1d1I45 I Address: 3?- C. .S • , L qzo� . Legal Description: Property Tax ID #: ` `1 , -';z. Site Plan Name: �5-6tvrds Project Name: :50") d3 Setbacks Front Back: Right Left Side: G No.(D Block No. 101. 1-x1'. /0(0. �01, 2oS -.ot0- %0-04 .\ 5 rP -k�" I `VA fir` >0 n Haamonai worK io De perrormeo unaer mis permit-cnecK au inat appiy: _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors 1 Electric XPlumbing _ Sprinklers —.Generator _ Roof Pitch Total �q`.: ,tJof.Construction: Sq. Ft. of First Floor: �astofConstaction:$ $O,oOO• Utilities: _Sewer _Septic Building Height: SOW' ERA/LESSEE: IfjR CONTROR: ACT Na a fn Name ' Company.._ , Address -'. 7_b11 �� _\�g�� P �_ • l _ State: \ Address: -61A Di 4,i t-' N D-3 City: I/G(D I7c�ct�2 State: Zip Code`47 q ( �, Fax: Phone No. !�JRS' z, Zip Code: � .1-g 0 O Fax: 7?1 LF9a- (04(/ hone No 6-31g-O ' E-Mail Cfa,&Lo. rn E-Mail: >ga Ek\\ c�\ yNn o .g-,JL..4 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) ."%1 State or County License_ e 7 C O(v 1 ©:20 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN MAINFORMAROMM DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: "" ' ' 'City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: Cit•�: Zip: Phone:=";p:: - Phone: 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 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 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* on -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 rnmmpnrino ieraek nr rprnrdinv vnur Nntirp of Commencement. S ure of Cc trCtor/License Holder (� Signature ofAessee/Contractor as Agent for Owner STATE OFA' ��ir.� STATE OF R COUNTY • COUNTY OF The forgaa��'ng instru ent s acknowledged before me Ray 20 by The forggpping instr ent wa acknowledged efore me this 20 acknowledged n/� of thistop , A,riilay,onf% I� + , - /NVI�_p (Name of persona A nowled ing) (Name of person acknowledging) (S- ture of Notary Pu II St lorida) "ignature df*lotary Public- State of Retida•)I�++` Personally Known eddder+iifiea 4� .• Personally Known OR Produced IdeQiif""ic ti4-- Amy C` Type of Identification ; A =a•. K. SOUTHWICK T e of Identification YP - : « ;�o,: c�;=JOLENE Produced •= MMISSIONOFF0797a0 ',�'�`•�.. Produced _ Z uB oli -/°f IRES December29,2017 Commission No. " •• •_" 41iarysemce.com Commission No. �AJF1 •,�9�;��ER•G� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE ` COMPLETED Rev. 7/2014 /