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Buiding Permit
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: _" ao_T0ti8,. Permit Number: UK Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 4.62-1553 Fax: (772) 462-1578 Commercial Residential X Address: 6015 Seagrape Dr Legal Description: Indian River Estates-unit08-61LK 19 Lot 35 Property Tax ID #: 3402-609-0013-000-6 Site Plan Name: Project Name: Setbacks Front Back DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Lot No. 35 Block No. 19 Remove existing roof down to deck. Renail deck. Install underlayment and new asphalt shingles. CONSTRUCTION INFORMATION: AdditionalvN-o-flTboUe—pertormed 6iiiier this permit - c1e a app y: HVAC Gas Tank []Gas Piping _ Shutters Windows/Doors 11 Electric Plumbing O Sprinklers 13 Generator Roof Roof pitch Total Sq. Ft of Construction: 2804 S. Ft. of First Floor: Cost of Construction: $ 10640.00 Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Marcella Schwartz Name: Larry Mcdonald Address: 6015 Seagrape Dr Company: Southeast General Contractors Group City: Fort Pierce State:FL Address: 10350 SW Village Center Dr. #232 Zip Code: 34982 Fax: City: Port St Lucie State: FL Phone No. 7728011091 Zip Code: 34987 Fax: 8777560007 E -Mail: mschw33797@comcast.net Phone No. 8774073535 Fill in fee simple Title Holder on next page 4 if different E -Mail: LMCDONALD@SOUTHEASTCONTRACTING_COM State or County License: CCC1330002 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL. CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: i Not Applicable BONDING COMPANY: Not Applicable Name:_ Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 commencing work or recording our Notice of Commencement. r4Signu_reo:f Owner/ Lessee/Contractor as Agent for Owner Signat re of Contractor/License Holder STATE OF FLORIDA S COUNTY OFstLucie TATE OF FLORIDA COUNTY OF St Lucie The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 20 day of lune 20_ by this 20 day of June 20_ by Name of person making statement Name of person making statement Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced (Sign Ure of Notary Public- State of F (Si natur of Notary Public- State of Florida i Commission No. FF112219 '�� NICOLLETTE BE FF112219 `0^^+^+�wve MY COMMISSION # F I � fission No. � � Nb*tTTE BENICHIC �'�og�oaA EXPIRES: July IS, 018 ey ; " My COMMISSION # FFI122P "F©F EXPIRES: ]uly 18, 2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED iev. $/2/17