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Home My WebLink AboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED D. Permit Number, RECER'D DEC 14 2016 Building Permit Application Planning s Development Building and code Regulation Division If Virginia Avenue,Fort Pierce FL 34982 Phone. 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V• .G'R;, ,.,+,.,..., ,�....a....r.. „1 _... n...>,,....x'., .X. ••..«_.,}.,,,.r:3.. :-:.;.;.-r...,.a:.,-,:\;...-.'..: ..,,� ,._v'�s,". ,'iK:.,•.,,:�=`x - :::.w,::''�. - .�_�_,-Y.;�»�i��}�i;S: t1_.:M.....:,'t'I,,:.C,'�..._-_C.r..:}«,v..T..F�,.r�.......]bl..........,.. v„�F. ,�e4-.:.�,.-., ..._. ..,..5_r.n.t,:.w...-v,...t.......i.. - ., ...:rn• .._. ,t.. :w 14:r::iai:`:J2Mr'nin-�.•4:• .,u.M,r...-.:,'•`:A, v • .. • E • /1 M ' • 1 p � DESIGNER ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: Zip., Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: __Not 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 represent Cion that is granting a permit wilt 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 Home 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 respect,perform the work in accordance with the approved plans,the Florida Building Coder,and St.Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review:room additions, accessory structures,swimming pools,fencer,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 work or recording your Notice of Commencement, s signature j Lessee/Agent SignAtu$%13TJZ!jtr9ctor/ricense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ZJ U jjQ j-e-, COUNTY OF -The fOrRUIriginst meat was acknowledged before me The for sing instrument was acknowledged before me this A2tday of okemk.= 20 W.g-bv this May oftP _t1 "' 'y- 20 by (Name of person ackhowlAWging) (Name of person acknoWU)dging) r (Signature of Notary Public-State-f�Mrida I "—/(Signature of Notary Public-Stat Personally Known R Produced Identification Personally Known I-�'OR Produced Identification Type of Identification ProducedTye of Identification Produced Commission No. NA BENZ Put C mission No. ".16""Fe-4 Notary pUbliC-State of Flo v ida VUF Notlrqvwla-State of Florida My Comm,Expires Feb 7.2020 Revised 07/15/2014 . ' 1"..F , My"bomm.Expires FeD 7,202Q 14 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE