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Building Permit Application
[AILLAWWOA £` !'lk 13E: 1 EQ PIER Ai iI�CAT "FO Ik yy ¢�11_ Babe: Permit Number_ t j CJl tf� 86 icn PTGareng and Devekwbu rrt SOMICes Building imd-C#*,Regulaft)7 Dh►isiori X300 VirgT»To Averirte,Pott Pierce FL 3482 Phone:(M)462-1553 Fgx:(772)462-1578 Comm.erdal ResidentialItr– _ PERM,T.pi*LXNflOit-FOR: "fit Address: va ) 1--. 30 2- Il 1escr ippon: U � Pvoperty Tex'W t, J • 1t� (t's'i �� Lot No Site Plan Mane: Block No. ,, PrEiject'I�lante: ' Setbacks frcirtt_— 1#aek Right Side: Left Side: SOULrCL kcLt a Eery 0 8 ran er r5 Perm --c ec a app = HVAC . Gas Tank DOS'giping Strutters VAndows/Doors QEleGtric FiPlumbing L._J Sprinkiers Generator O Roof Total Sq.Ft of Constructlon: .PL of First Floor: Cost of Construction:$ A i�.©L7 Elt3l►ties Sewer L.�l wilding Height: Name nn Name: Address: fa .X � ��t � Company: Crty` e� 'l Sate: Address: `'.� Zip Code: ift1� � �.�F� �c� GtYc1� 1y Phone No.t-1 G LG• �0� �'��� Zip Code: Fax �S� E-Mail: Phoneft. Frill in fee si r4ft T-ftle'Hokler ow next page'(if d0brent twit h.CLI3 CD�1r"t frolli Miter bsW State or'Gounty If value of cow is or more,a REC{3MD Notice 4 CommekwMent is required. E0/I0 30Vd N3IW3Nd b601Z69ZLL 6b:60 5I0Z/ZZ/01 I i p Not ApplicableMORTGAGE COMPAi�IY: Not App(lcable Neme: . Name: Address' ______-.- Address: 'City: State, C-ar. State- Zip: Phone'--,. __-- r1p: l FEE SIMPLE TITLE HDwER': Not Applicable DONDING COMPANY: _lAot`Applicable Name, Name: 'Address- Address- car- ddress: ca - -- city: Zip: Phone: zip: Rhone- I certifythat no work orinsWiation has commenced prior to the issuance of a permit. i St:Lucie Cou•, ;makes no represen tion that is granting a permit w111 uthorize the permit holder o build the subject structure which is iwoo,2 20-with a�rap!pl'lcA?e,Hgme OwnersAssociation rules,�yla*s or and cove nan#s ;•at may restrict or prohibit such structure.Please consult with'your Nome Owners Association and review yoyrdeed far any res A ions which may apply. In consideration of the granting of this requested permit,I do hereby agree that I will,in all resp I ,perform the work In accordance i ilirthe approved plans,the Florida Building Codes and St-Lucie County Amendme The following building permit applications are exeinpt from undergoing a full concurrency review�! oom additions, accessory structures,swimming•pools,fences,walls,signs,screen rooms and accessory/uses to an; ther non-residential use twice for • WA'E�Ii111G TO'OUIIN�R:Your failure to Record a Notice of toit>tmercelneM may resu{fJ n your paying • T improvements to.yo.ur,property.A Notice of Commencement must be recorded a. d posted an the jobsite before the fir4lritpection.If you intend to obtain financing,consult with lender oar an attorney before conhrrvendwt work or recording your Notice of.Commencement e ssee/Agent ior/L7cense Hol er STATE OF FLORIDA STATE QF FLORIDA . COUNTY OF �h�,Y�l n ____ COUNTY OF _l Ing Inst s acknowledge fore me TheMiof. g Inst e t s�c I owledged re me this nay of ZO this 20 ry) � V (Name of person acknowledging) (Name of person acknowledgrri ) .6af T) (Signature of Notary Public-State of Florida) (Slgnature of Notary Pub6 llc-Sta of Florida) Personally Known `' OR Produced Identification Personally Known oduced Identification Typ iiication Produced Type of ted CRYSTAL A QUE�n ' A gUEVE{ Comm)on - CRYSTALR FF9RN I N tf FF904048 EXPIRES July 31,2019 FbvJtlelYa er�lce-cam Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS 'VEGETATION SEATURItE MANGROVE COUNTER REVIEW REVIEW , REVIEW REVIEW REVIEW REVIEW DATE COMPLETE. INITIALS I E0/Z0 39dd �3IW3Nd b60ZZ69Z11 61?:60 9Z0Z/ZZ/0Z