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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
I
Date: "I La- I�fc Permit Number:
•
Building Permit Application
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 X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT,LOCATION,
Address: `-4 i✓1 2+r� Y r� �C"
Legal Description:
Property Tax ID#: , Lot No.G
Site Plan Name::l_nc_ice.Y, IP ve-r Gael;-IL IB'lock No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF.WORK � .
emou I? e ec )Ace '7 ijrei Pa JS ,veT �✓� PGS' _�CI '�`�/^. .
CONSTRUCTION INFORMATION
Additional work to e e orme under this permit-check a appy
E]HVAC 13 Gas Tank Gas Piping _Shutters Windows/Doors
Electric El Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction: p
$ Utilities: _Sewer El Septic Building Height:
OWNER%LESSEE CONTRACTOR:
Name -' _ Name:
Address: c4 InL-Fc2e 1 Company:-__` L.X irr5, �iC
City: State'L Address: 1,2C>1 SLp 13i I+i9?&.rt° S--
Zip Code:- q'�-2 Fax: City: P-,5 L State:-I—L
Phone No. gel'/ - L/771 Zip Code: ,34 5 Fax:-77,-5r7
E-Mail: Phone No. -72
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County Li se: /22
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
May 18 1508:24a JBIR Exteriors Inc. 7728716377 P.1
10I Yol 2—
MORTGAGI Applicable
Name.
ON I I ISM061 N
DESIGNER/ENGINEER: Not Appl7icable MORTGAGE CO-NIIIANY: Not Applicable
Name: Name:--.
Address: Address:
I City. State: City, State.,
Zip: Phone: zip: F tone
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING rXPA l NI _ll Applicable
Name: Name;
Address: Address-
Cilty: City:
Zrp: Phone: Zip:
ione:_
I certify that no work or Installation has commenced prior to the issuance of a prilliim it.
St.Lucie Coun makes no representation that is granting a permit will authorize the p---v it holder to build the su ectstructure
which is in qor% b
ict with any applicable Home owners A6bcratfon rules,bylaws or and itil::rl is may restrict,4r prohibit such
structure,Please consult with your Home Owners Association and review your di-ed'(:- ;lily resWicdoris Which may apply.
In consideration of the granting cif this requested permit,I do hereby agree that will, 4 re-,pecis.perform the work
in accordance with the approved plans,the Florida Building Codes and St Lucie C ovnb; I -renclinixi
The following building permit applications are exempt from undergoing a full cofi, )j it r- :.review; -vomaddi6ons,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accirr,5or es tiI another non-residential use
WARNING TO OWNER:Your(allure to Record a Nodice of Commenteraient iii result in your paying twice for
improverne toyour property.A Notice of Commencement must ll rill rided and posted on the jobsite
before the fl Inspection.it you intend to obtain financing,conpAli:witl L:rider oill n attorney before
cammeni gAzrittecording Your Notice of Comment:
Signature of Ow-nVitr9iliii: signature
-i I
T1115
STATE OF FLORIDA(- STATE OF FLORIgilivJ
of C'o'ltrxa.•� ' nesse holder
COUNTY OF _ i COUNTY OF -2T. Lil�p-ti,A?
The foreping Instrument was acknowledged before me The for&ping instru -tul acknowledged before me
this-Zdayof /V il 20 XS-by this:g�clay of by
(Nameof yper n aZodging) (Name of peii-xin a I r -wlell i
{Si r ofW@T4ry Public-State of Florida) I * iture W Nom iblic- tal of Florida)
nally Knili Iml
Per-6I Kn "! C 0
_AI 01
type of Ident d PlAwlicstate0of rill Type of Identitn;kid I :-r U99I
O'Sill Albel ._._WWUj rXVKW
My jll;;;L;
cnr�!qjon Joshua 9h
Commission hl y Re OV424
V,
Commission v
L5 W Ewmcalls"is
Revised 071IS12014
REVIEWS FRONT ZONING SUPERVISOR PLANS VL-L- SEA.TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITi