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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
0. � .
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 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 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 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
commenting work or recor_ding your Notice of Commencement.
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Sig ature of wner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF N COUNTY OF
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Personally Known 0 Pr duced Id9ntification Personally Known OR Produced Identification
Type of Identification Produce •r;pir Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED J �7
Date: 4/10/2017 Permit Number: / 7Q 0 E) n l
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Building Permit Application APR 10 2012
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: Concrete
SED IMEM
PROVENT O
PROPO
Address: 5507 Silver Oak Dr, Fort Pierce, FL 34982
Legal Description: 5507 Silver Oak Dr, Fort Pierce, FL 34982
Indian River Estates Unit 6-Block 22 Lots 38+39
Property Tax ID#: 3402-607-0260-000-6 Lot No. 38+39
Site Plan Name: Concrete Block No. 22
Project Name: Concrete
Setbacks Front 104 ft Back: 174 ft Right Side: Left Side: 22 ft
b,ETAILED DE�SCRIPTION`;OF WORK •"' � � '' �' " � i F t . x - , � `n
3.5 in thick concrete pad 3000 PSI fiber mesh 22ft x 20ft (see attached drawing)
0 �pJ1 1d;,. ; ('P S lab+ via ve_8e_+, vv, �.�v►,��"�c1
(application is after the fact in response to county code enforcement case#: 90391)
CONSTRUCTION INFORMATIQN f
r ..
Additionalwork to e e orme under this Permit—check a app y:
HVAC M Gas Tank []Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers E]Generator E]Roof Roof pitch
Total Sq. Ft of Construction: 440 SgFt S Ft.of First Floor:
Cost of Construction:$ 2200 Utilities:Cn Sewer[]Septic Building Height:
`OWNER/LESSEE owner# '` `` `CQNTRA'CTOR
L,
Name Guy&Kathleen Carrier Name:
Address: 5507 Silver Oak Dr Company:
City: Fort Pierce State: FL Address:
Zip Code: 34982 Fax: City: State:
Phone No. 772-252-9914 Zip Code: Fax:
E-Mail: kmccomp@roadrunner.com Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required..