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BUILDING PERMIT APPLICATION
r- ALL APPLICABLE INFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED cyf pX! Date: '-5'-\'�0_ ' SCANNEDPermit Number: BY tt St. Lucie Ccfuffi. RECEIVED Bciilding Permit Applicatisn MAY 0 7 2018 Planning and Development Services; Building and Code Regulation Division ST, Lucie County, Permitting _ 2300 Virginia: Avenue, Fort Pierce FL .34982 _ Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT'APPLICATION FOR: ToySRlect from dropbox, click arrow at the end of line g. ^:-''C':�.' Kyx+°�"&`.,k. �? 'PlOPOSED�NfPROVEM�(7LOC}itfON� "5rvwtu '"" '$¢34 i{mot, b..iK 't.��f, .i.*ai� Address: 17w Yes Y2r 7A3`f 'T�frrr — �1�� ;nw.:..-a.:i:. W_ Co.✓.�l K Llim tT �e� �'f AyI a Pr WV�.( Qi�'✓: Legal DescFiptian: 15 LEA-ryn —. PropertTTax:ID:#: 3 S 3 �-_ (OI o03Y '�y — W Lot No. r' ' Block No. Site Plan l5ame: J�Q?� � i Project Name! _ Setbacl(s.-;,Front N A Back '/a- Right Side: N 6 Left Side:' ^� Q 4 DETAI4EDJ[%ESCRIPT!©N - __ j�vo✓L ;-�lF}�ov►r�1' — �1 ay��iv�N6 y `�CONSTR,- 1(iN IN ORM!#7tt?[�t� " � { `' _ _ �' k. t,2u5'T',.. 4 , ._ �, r Bn{opatwor t�o peeve—,Ir%rmea undet'1.n{spermit -c ec a apply: �-�7 J �HUAC<'s LJ Gas Tank 2._[]Gas Piping Shutters � Windows/Doors 1, Ehect[Ic" . 0 Plumbing? Sprinklers Generator _Roof Roof pitch Total S4nF.t of Construction: _ Sai- -F�t. of First Floor: Cost of Construction: $ _ 2 rI Jac __ Utilities: 0 Sewer Septic Building Height: =OWNJtR IMEE> fa * r r`' ?u CCaNTRAC70R x .=,s r��: _ ,.,s <_ . _ ....... _ O-s Name 17 WWai.v = 'YLt Name: MICHAEL(t COWIN 4 -n-i Company: JENSLN-BEACH ALUMINUM Address: 1720 NW t LDERAL HWY City: State: Fl, - - City: STUART State: FL , Zip Code: rqI 7 Fax. Phone No. ? 42 Zip Code: 34994 Fax: 692-9744 Phone No. 692-0090 Fill in feesimgle Title Holder on next pale (if different E-Mail: MICHAELL'300DWIN@YAHOO.COM State or County License: CGC 1508437 from the`dWner,listed above) _ If value of;;cpnsT,rOction is $2500 or more, a RECORDED Notice of Commencement is repuired. SUPPLENII NTAL GONSTRUCTION�1 IEN LAWINFORMATIONu?r ..�-.wa., m DESIGN ER%ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name T14 ��IJC.�AST A'lIIMIAItIAA`= Name: _ Address:','' f3.L30 56-r* -fr'lol Address: City: '-- 1 State: City: State: Zip: - :` `i.�Phone: j 000 Zip: Phone: FEE SIMP.LErTITLE HOLDER: _ Not -Applicable BONDING COMPihNY: _Not Applicable Name:,....., Name: Address` l-' Address: City: ;; i r ':.::' City: —. Zip: Phone: Zip: Phone: 5LO ' In a in ai The com STATE The Type irk or installation has commenced prior to the issuance of a permit. a'i ;kes no representation that is granting a permit will authorize the permit holder to build the subject structure with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such insult. with your Home Owners Association and review your deed for any restrictions which may apply. the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work the approved plans, the Florda Building Codes and St. Lucie County Amendments. ing permit applications areGxempt from undergoing a full concurrericy:{eview: room additions, .s, swimming pools; fences; walls, signs, screen rooms and accessory rus�es to another no -residential use WNER: Your fai}ureRecord a Notice of Commencem y result it r paying twice for o your property. J�Cyfolice of Commencement mus e r ri�gfed ayf¢ o�eted on the jobsite npPec l o tend to obtain financing, con It %A der n torney before 4 as 1s_ !nt was acknowledged before me /0v 20/ by OR Produced Identification ANN a STATE OF FLORIDA COUNTY OF S'� .(_JX4E Fs The forgoing instrument -was acknowledged before me thi.0W)ayof 20Zo—' by +r ,Y. (Name of person acknowledging ) (SignatuYe-of Notary Public -State Staof Florida ) / Personally Known /�' , OR Produced Identification Type of Identification Produced Commission No. (Seal) ^ - a•:�"s-, -_P EXPIRES: DsceTGer 7, Z018 , ; MY GOMMISS!ON 8 FF 173907 9 �S ` `•%: •a hg' Bondedmmnoury Peb�u,dereders ' n d EXPIRES: December7;2018 Revised 07/1!5lz�l �P yaC Bonded -1hro Nblary Public Undewriters L REVIEWS,iie FRONT ZONING.; SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW ` REVIEW REVIEW REVIEW REVIEW REVIEW DATE t r x YI INITIALV?;:f oc