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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED P
Date: I'
Permit Number:
FEB 2 4 2020
Building permit Application Sr. Lucie County, Permitting
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
I.
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end
of line
=PROPOSEDIIVIRROVEMENTLOI=ATION -'
Address:[
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Legal Description: �InYiS- ('r,r�,ti n1Uvr
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Property Tax ID #:
Lot No.
7
Site Plan Name:
1
Block No.
Project Name: !"r(lhn.nq
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION' OF WORK
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CONSTRUCTION INFO,RIVIATION :< ss 4 k
Additional work to e e orme under this pe, ec a
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apply:
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1 HVAC Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Roof pitch
Total Sq. Ft of Construction: 5 Ft. of First Floor: I!
Cost of Construction: $ T. 30b Utilities..Sewer Septic Building Height:
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OWNER/LESSEE = ;CONTRACTOR =- y
Name '
,ram 140nr Q Name: Ui',n r%oi-\1— ihr t1
Address:_l31 5, FA`.r ,Q1 AVc
V Company: 1 .LU.Cn O ni l t C f r}l� T�(
City: 6G.yS�2 a State: lei (` Address:: _1011 GUI Sf.;Of,
Zip Code: If'7-oS Fax: �(i//} City: _1PLLSF1ti Ackv C State:-_L
Phone No.� � �i�S- ;) KU Zip Code: 3L(S� % Fax:
E-Mail: PhoneNo. N41 I s
Fill in fee simple Title Holder on next page if different E-Mail: SPNi P�
P P g ( A -Rrnwrn�cnS�irc (tDnlv�(' (r7iI
from the Owner listed above N ,
State or County License: CG-(, I j la I R I
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. '
i
11UL nppucame +
Name: MORTGAGECOMPA
ress: NY. ✓NotAppllcable *f
Add
City: Name: Address: i,
State: City: f
Phone: State:
hone: i
Zip: P.
FEE SIMPLE TITLE HOLDER: o
Name: — Not Applicable BONDING COMPANY:
Address: Name: ( _�0601:APPlicable
City: Address: !
Zip: Phone: City: p
Zip: Phone: E
I certify that no work or installation has commenced prior to the issuance of a permit., II
St. Lucie Countty� makes no representation that is granting a permit will authorize the ermit holder I build the subject structure
which is in con c with any applicable Home Owners Association rules, bylaws or her ervenantd that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which ma a I .
In consideration of the granting of this requested permit, all respects perform the work
I do hereby agree that I will, in ['rk
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. y y
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
o anotger
tial use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may rtsult n your paying twice for
improvements to your property. A Notice of Commencement must be reco ed and�pour p in thejobsir
before the first i
commencin r ection. If you intend to obtain financing, consult wit ender or an att Mey before
in our Notice of Commencement
SignatureOf oO Ownerer/Less ntractor as Agent for Ownercc
STATE OF FLORIDA I'
—
�OntraaOr cense HOlder
COUNTY OF_STATE OF FLORIDA
COUNTY OF 16 I
The forgoing instrument was acknowledged before me The forgoing instrument was ackn iwledged before me
this J3� dayof �y
—�20�b
Y this day of �c�u� f ZO by
(Name of rson acknowledging) 9L.1
(Name of person acknowledging)
(Signs o Notary public -State of Florida
4ignateotary Public -State of Florida )
Per nally Known L OR Produced Identification Personal) Known p
Type of Identification Produced y T OR Produced Identification
tJy RANco Type of Identification Produced l —
Commission No. 3�8�4q ,�W� vvu I'JENNAL.FRANCO
�Pror— JEt a1 OG 326779—'(�3zg}}
:5�:••. ,°c Commisslon Commission No. 1�,,, ei,
' ifesA?A\29.20 k
CommissidrD"326779
�a�''Fl „ IlExpirss Apol29,2023
Revised 07/15/2014 �J' oFf�°p �0°�E"fyu u ��F ��� a Nary SeN F�
REVIEWS FRONT
ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE REVIEW REVIEW
COMPLETE
INITIALS