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ALL APPLICA E INFO I)VI/UJSTT BE COMPLETED FOR APPLICATION TO BE ACCEPTED `
Date: �® I / Permit Number:
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 X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line.
......
PROPOSED IMPROVEMENT l OCATIQN
Address: 740 SW Airoso Blvd.
Legal Description: River Park - Unit 6 - Blk 59 Lot 4 (Map 34/28S)(OR 3972-1138)
Property Tax ID #: 3419-545-0062-000-1 Lot No._
Site Plan Name: Block No.
Project Name:
Setbacks Front Back:
Right Side: Left Side:
install 7 accordion storm shutters over existing openings
aaitionai worK to oe ertormeo
HVAC E] Gas Tank
unser tnis permit — cnecK ail
E]Gas Piping
n apply:
Shutters
❑ Windows/Doors
_
❑ Electric ❑ Plumbing
Sprinklers
Generator
❑ Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 4552.00
S Ft. of First Floor:
Utilities:Sewer 0 Septic Building Height:
Name Orestes Marzo
Address: 740 SW Airoso Blvd.
City: Port St Lucie State: FL
Zip Code: 34983 Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Raquel Swanner
Company: The Home Depot
Address: 6500 NW 12TH Ave. Suite 110
City: Fort Lauderdale State: FL
Zip Code: 33309 Fax:
Phone No. (754) 224 - 201;0
E -Mail: jonathon.thomas@expeditepermit.com
State or County License: CGC1514813
If value of construction is 52500 or more. a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
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
coaameicti�inR work or r_eclarding-wur Notice of Commencement.
r/ Agent/ Lessee
STA1M-0F FLORIDA
COUNTY OF It, i�,kc�)EL
The forgoing instrument was acknowledged before
me this --zQ day of 'J uqj , 20 17 by
2Aaott, soar aV
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
cense Holder
STATE OF FLORIDA
COUNTY OF�--
The forgoing instrurrtent waq acknowledged before me
this --15,� day of t`K k—J 20_17 by
rL_ -�>iOar4zj✓
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
f)YR.O`I4v1LLEY Commission No.
MY COMMISSION 0 FF 042794 I
EXPIRE&: August 7, 2017 ,
a lylMOTHY R.O'MALLEY
NY COMMISSION # FF 042794
EXPIRE&: August 7, 2017
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