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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COM11PLETEDTOR APPLICATION TO BE ACCEPTED—' Date: Permit Number: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Address: Legal Description: Property Tax ID #: Site Plan Name Project Name: Setbacks SCANNEL ° I� �,� T BY.. J St. Lucie Coal Building Permit Applica# on 5 2017 Pu:,,a -,orks St. Lucie County, FL Commercial Residential OOe bco 0/ n Lot No. Front Back: Right Side: Left,Side: 45 ik.4 n _:l-_ lat, ML F_..e kQ�t.0 - ZL,-rcie k ,6, alit-/- ic,i l ov. loS,/, _� -L a.,ol, �02, ?-03, 2-bS, d.ota, _Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors ` _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Total'$c�.'Ft'.of Construction: Sq. Ft. of First Floor: ii- -....:.. rQ 0 ODD, Gostof Constructon; $ _g �. Utilities: _Sewer _Septic Building Height: Pitch ®UVNER/L S ,E- CONTRACTOR: ,Na& t ,• .' 0 e(fFl Name Address. _g?j�'..a6b-{�� Company .l�e(oC�`� �oNt`ce5:�eI, — v e City;�T�<o 'tip. State:_- _Addres"s:�� (��l/c( __— _ _'f bl�, �,�;p b1 �u-3 Zi Code: p. 3DR60 FazjL &-i (1300 Phone No. i7a - 4_4,R- 9$ S3 City: i/�fa 6eaCA State:. Zip Code: -aLq (oo Fax: Phone No S FS— t4cri E-Mail: flt�GA_ Q F'L<<b tf fna((eL( , Co/n - Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail 0 r.K300_cp 'h State or County License 101 O k 1 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTi©N LIEN LAW INFQRMATI©N: MORTGAGE COMPANY: _ Not Applicable DESIGNER/ENGINEER: _ 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: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Countyy 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 before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commenci work or recording our Notice of Commencement. a, Signa ure f 0 ner/ Lessee/Contractor as Agent for Owner gnature of,Contrac� or/License Holder STAT FFLORIDA STATE OF IFS HG�YIfSl/fJ✓' COU YOF A(Trl �� COUNTY PAnI The r g instru ent \y s acknowled ed before me 2 by The fo mg instru entw s acknowledged before me this may of 20� by thisay of (Nam of persoA acknowle in ) (Name of person acknowledging) i nature of Not Pu�jc- late of Florida) (Signature of N ry Public- State of F1or da �,� C P sonally Known 11V/ Personally Known OR Produced I�Pnti(itat'NT_: Type ofldentification JOLENE K. SOUTHWICK Type of Identification C' _ PfOdUCed€ MISSION #FF079740Produced ' '•, AUB1-Nu - I SDecember 29. 2017 "' t� � Commission NO. ( 1_L 1 Commission No. ""'+-&9JJryseNice.com JN A� „y . c'CPT REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW RECEIVED DATE -. _ COMPLETED ev.