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Home My WebLink AboutBuilding Permit Application nate: hermit Wiu be'r: ® ' M90 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 PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line \ .r .. , .....•,..,lr..:.,..,:�...i'.i._. {.1., :'�::i::.S.Y.:'./::r:'.\�:�-.v:,":.:::::,:•;....:..,�...:....�..n. r•{•!�4 •,. .. ... ......,..r...-.s.,....;{,.:r:..:•,:.....L.. . �;:.,:r.;.. ,r;..�•,: .., `�`•(41V( '-w`'R7:it}jtM, .•:._•. -.r :: '4 t. ..r. .. t..,,t,•,.t,t•..,.,:c+;•:•.,�,�,.rr_'-.,.._.;r_..r,„ .:.,.:�< y_I. ,:.:::: ,.t.Y r,)�- •tip, R.Rt�PO IiVIPROV.E . . .. ,:,. ..t,..,-,..,.,4.,.4_..__,.. ...:._,_, ...:-.r.�,,.:,.},:: "''''•=�;�� r'�� - .SED... .. , . .. , MILT LO.CATI.O.N., , ,. � �,:.,..,...,, \1��-•�� s� •w.,..., .r _ , ...}.. .,stS:.�`,S:"„r,...,...,,._.<.,.......3..:...x.::...i•:.,.._,....tq F.::1:t::!...,":r,....� r•?�:!:+:....,.:,.:'LtYt'�,t7"ii;t!;:cF?�t�` J��:L't\r..r��'4.Y,:1:,:!t'3.Er.1.. 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Fax: 779 yGr/ E-Mail: Phone No. Fill in fee simple Title Holder on next page(if different E-Mail: 11 iz.I.ct�� '�C - '�• from the Owner listed above) State or County License: —s If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 8 /9 # 7LH9tZLLf PL9(.Z9ti:ol :W0JA! ct: �Z!9�-90-n 10-05-15;21 ;43 ;From: To:4621578 ;7724618722 # 6/ 8 ........ .....:._,:.........•...-...r;,.,..•„•., ,....,..--...;-..,;:;..:y,.%,•:}•s,.;Na�:'}I.t....,. ..,--,.� •s t:••;:c•,, I •4 . +�"r"�'" ,. ..,.,,.................-;..,........ : .. ....:•�••a•-:;:•:-e'—. .:.+s.-rF ;:'.;:s''�E:I(,'miC11U "ai;y�S• .1. ..,,,..:•..:.... � ,.,.5 {. :i:^.,7�.:,n4.n,:a,'IJ"`"�SS •(i`i%T,ii')3•'�"'.':r :!.•d..`1,da: �S),I' `i,V2'f�'� ..., , -, _ .. ` !t. �.::�Y;y`.�.':"�u.yc:.•h,. �1 I•,• 1•^i 111,.,..:.. ,:•C l�.i�':yl n}I`: { : :;. r NF..ORMA 'IN:. STR.U, 0.{1C..LIEN.. W,.1 . :,:::. .PRLE'M�111"I'"A�,.CO�] : ... . .. .....:...... . :.,:h.....: ::.::•.•,� . SSU _ .:r.;. : .� •+.71: •:..?:a.;. it ..::••t' ::"!:. .... ,........ DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: 40, Applicable Name: _ Name: - Address: Address: City: State:. City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLEHOLDER: blot Applicable BONDING COMPANY: �_Uot Applicable Name: Name: Address: Address: City: _ City: Zip; Phone: Zip: Phone: 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 Horne 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 commencin.g work or recording our Notice of Commencement, s Signature of owner/Lessee/Agent nature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA�� !� J COUNTY OF COUNTY OF The for oing instrument was acknowledged before me The forgoing instrume t was acknowledged before me this .. __day of OC C�10� 20!�by this (a day of 26 by (Name of person acknowledging) (Name of person acknowledging) 44,waxYL- J,a � � (Sig ure of Notary public-State of Florida) (Si ature of Notary Public-State of Florida) Personally Known OR Produced identification Personally Known OR Produced Identification Type of Identifi Type of identification Produced SANDRA HOHMANN �. SANDRI�AANN Commission N .'�° �= Notary Fublic(�#glp of Florida Commission No, ,. : �•� __M g My Comm.EXDlres mar i4,201$ - tory Public-Sldte of Florida • �" 'E My Comet,Expires Mar 14.20111 ". 'a'.' commission#FF OT1680 :s, �: + �= 8ottdod Through National Notary ASsa so Revised 07/ th O*Natlorw Notary Assa, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE