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APPLICABLEALL • MUSt BE COMPLETEDi ' APPLICATION TO BE ACCEFrrED
Date: PermitNumber: iSkG : GOO
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ECEIVED OCT 0 5 2015
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Building Permit Application
Planning a t Development
SulldIng andCoder t I Division
Il Wryinio Avenue,Fort Pierce Ft 34982
Phone. Commercial i `
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the n I e A
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Cost.of Construction:$ Utilities: Sewer Septic Builll�g Height:
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Steve Smith
Steve Smith
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Address:• 8001 Eden •
t • Fort
Pierce
Zip Code: 34961 72 461-2Q36
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10/05/2015 08:13 7724612036 STEVE SMITH AC PAGE 03/03
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicabi
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: phone:
I
FEE SIMPLE TITLE HOLDER. Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address: I
City: City: I
Zip: Phone: Zip: Phone: I
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 bui d the subject structu e
which is in conflict with any applicable Rome Owners Association rules,bylaws or and covenants that ma restrict or prohibit s ch
structure.Please consult with your Home Owners Association and review your deed for any restrictions filch may apply.;
In consideration of the granting of this requested permit,i do hereby agree that I will,in all respects,perf rm the work
in accordance with the approved plans,the Florida Building Cedes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room aditions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another n in-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 Com mi encement,must be recorded and po ted on the jobsit
before the first inspection.If you intend,to obtain financing,consult with lender or an a torney beforo
commencing rk or re=ding vour Notice of Commencement,
s
Signature of caner/Lessee/Agent Signatureof Co tractor License Holde
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The fo oing instrument was acknowledged before me The forgoing instrument was acknowl dged before me,
this day of ; &{ , 20 Eby this day of JMk- .20 _by
(Name of person acknowledging (Name of person acknowledging)
A
(Signature of Notary Public-State of Florida} (Signature of rktary Public-State of orida}
Personally Known OR Produced Identification Personally Known *_OR produced Identification
Type of identification Produced Type of Identification Produced
Commission No, _ ONWMW ission No. '-afiio-, (Seal)
NOTARY PYN it. Nltswias Ot�iiaie tie
STATE OF PLOR IDA NOTARY PUSS
. IgninrlE "�33 STATE OF Fi.,OR DA
Revised 07/15/2014 E*w&IIM19 t�ortin>*FF23t
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA URTLE MANG OVE
COUNTER REVIEW REVIEW REVIEW REVIEW R IE W REVI W
DATE
COMPLETE
INITIALS
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