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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll'APPIUC'ABLH INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j Date: - 57�5� IIF AjunoD awn-( -IS Permit Number: I �� MPM43NNVOS L PCOZ Building -Permit AppligD AUG 2 3 RECEIVED �NNE Planning and Development Services NO2017 Building and Code Regulation Division BY 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Address: Legal Description: PropertyTaxlD#: --2�oll(y' s-Lgl" l 1 lca - &5-0- Site Plan Name: ' 1 Project Name: V m GL Qld GiV10 K e5 / 0.1J1 Setbacks .-Front Back: — Right Side: Left Side: MUUI LIUIIGI WUI R LU UC pCl IUI IIICU UIIUCI LIIIb pC I I I I I L—L.IICL Mechanical _Gas Tank _Gas Piping k Electric Plumbing X Sprinklers a _ Shutters _ Generator No. Block No. -Windows/Doors Roof Pitch Total Sq. Ft of Construction: 33 15 Sq. Ft. of First Floor: 33 iS Cost of Construction: $ y� Soo Utilities: —Sewer X Septic i Building Height: /A OW E /LESSEE: C©NTRA9 NOR: Name a Name: ah � , Address: &L �% Company: '1 Iz 11 City: S�I'. b� a State: �- Zip Code: bgqr,5)+2 Fax: Phone No. -IoC - e - y l(O , Address: �(e/ 5 Por- 16 City: PCL�--11� Zip Code: '�;Z4g5-,V, Fax: Phone No State: E-Mail: 'ra. DYE cci Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail tigD /A)19r_k hk to , C.VVVr State or County License CG C. ISi 4 2- 10 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. _,, � ` -.-3 . 5UP LEME l l CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: Z)N WN — Not Applicable os e—(- MORTGAGE COMPANY: Name: Not Applicable Address: o :e. e Address: City: •Pie_K'C.P_ Zip: 3L46f&'L Phone State: __J�L City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: Not Applicable BONDING COMPANY: Name: X Not Applicable 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. 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 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 commencing work or recording vour Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for OaWaeY=" Signature of Contractor/License Holder STATE OF FLORIDA L I� + STATE OF FLORIDA 1 �;COUNTYOFL�.G�r✓II i"=1 t �r� a The forgoing instrum t was acknowledged before m $M this' day , 20 b � Y " I1 The for oin mstru nt was acknowledged before g day lti(� am a 5 � ' y of y u �� = this � of 20 b � y m j 02r WW2 �W 9 jUd r (Name of person acknowledging) `°>o: =•-••;: Name of e ( person acknowledging) m (Signature of Not Public- State of Florida) (Signature of Notary P I c- State of Florida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of (dent ica ' n Type of Idfiesentii n Produced ' .,)U CC Produced Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED //1U14 1 V L