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DESIGNER /ENGINEER: Not Applicable (MORTGAGE COMPANY; Not Applicable
Name, Name;
Address, Address.
City: State'. City, State:
Zip; Phone: Zip', Phone:
JFE SIMPLE TITLE HOLDER:
Xlame:
Address:
(,itv
Zlp; Phone:
Not Applicable
BONDING COMPANY;
Name'
Address.
City.
Z'Ip; Phone.
Not Applicable
I certify that no worl� or installation has commenced prior to the issuance of a permit.
ct structure
the
St. Lucie County makes no representation that is granting a permit will , bylawl2e thes or andpcov covenants that mayrmit holder to drestrict bor prohibit such
which is in conflict with any applicable Home Owners Association rules, y
structure, Please consultwlth your Home Owners Association and review your deed for any restrictions whlch may apply.
In consideration of the granting of this requested permit, I do hereby agree that I v\60, 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 e)tempt 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. Ypur 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
commencing work or recording our Notice of Commencement,
s
_Signature of O er/ Lessee/Agent' Signature Contractor/License Holder
of
STATE OF FLORIDA -STATE OF FLORIDA
COUNTY OF 1 COUNTY OF
Th�fo oing instru entwas acknowledged before me The forgoing instru entwas acknowledged before me
this ( da of U C V I J_ 20 12b),this (day of UO Uc% r 20 �? by
Y
(Name of person acknowledging) (Name of per$on actino ledging )
_J
(Signature of Notary Public- State of Florida) (Sighature of Notary Public- State of Florida)
Personal) Known OR Produced Identification
Personally Known OR Produced identification Personally
Type of Identification Produced
Type of Identification Pr dUpp
i. h,�Y 15sIONkFFO6455G Commission No, ' .F •: (Seal/LE FULLER
Commission No. - '�„-�1 _
7 EXPIRES October 20, 2017 :r � ?t.,, ' 1 M1' COIr11JISSIOr� mFFOh 8
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SER TURTLE MANGR VE
REVIE
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 8220 Sandpine Circle, Port St Lucie, FL 34952
Legal Description: Lake Lucie Estates Plat No. ONE Lot 1 (OR 1108-2240:3525-696;3697-2187;3796-2715
Property Tax I D #: 3426-703-0015-000-3 Lot No. 1
Site Plan Name: Block No.
Project Name: Carol Deruvo
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIONOF WORK:
INSTALL 8 Accordion Shutters
CONSTRUCTION INFORMATION:
i , ti I onal work to be pertormed un er t is permit— check a that appy:
HVAC _ Gas Tank F]Gas Piping _ Shutters Windows/Doors
❑ Electric ❑ Plumbing Sprinklers F]Generator F]Roof Roof pitch
Total Sq. Ft of Construction: 2569 S4985 . Ft. of First Floor: 1964
Cost of Construction: $ Utilities: _Sewer 0Septic Building Height: 14
OWNER/LESSEE:
CONTRACTOR:
Name Carol Deruvo
Name: Michael O'Donnell
Address: 8220 Sandpine Circle
Company: O'Donnell Contracting
City: Port St Lucie State: FL
Address: 6402 SE Federal Hwy
City: Stuart State: FL
Zip Code: 34952 Fax:
Phone No. 772-336-0556
Zip Code: 34997 Fax: 888-833-0164
E -Mail:
Phone No. 772-408-0200
Fill in fee simple Title Holder on next page ( if different
E -Mail: rcdonne11311 @gmail.com
State or County License: CRC1331273
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.