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Name: pplicable
Address:
City: State:
Zip: Phone:
certify that no work or installation has commenced prior to the issuance of a permit.
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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 SLIch
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
WARNINGT : Your failure to Record a Notice of Commencement may result in your paying twico for
improvements to your property. A Notice of Commencement must be recorded and posted on the labsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing )Vork or recording your Notice of Commencement.
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re of0%\aa0tWs-s-6W6ntraktor as Agent for Ownerature n ra or/L' nse Holder
STATE OF ORIDA STATE OF FLORIDA
COUNTYCOUNTY OF 5T- LUO(7c OF
The for -going instrumgnt was acknowledged before me
this / day ofd 4 , 20 18 by
(Name son acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known roduced Identification
Commission No.
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this f day ofCL-/ , 20 by
(Name acknowledging)
(Signature of Notary Public- State of Florida)
Personally Known OR Produced Identification
Richie Rdbad� I Commission No.
NOTARY PUBImi`IDA
STA 01 CS���F
Comm- f 1= F95835),1
E)w:- ire 6/4/2020
Ri�cie Ik G;olhcOE,
66/412020
1
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE_
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
—�
COMPLETE
J
INITIALS
PERMIT APPLICATION FOR: Window/door
Address: 3214 BENT PINE DRIVE, FT PIERCE, FL 34954
Legal Description: MONTE CARLO COUNTRY CLUB - UNIT 1
P ro pe rty Tax I D : 1327-801-0082-000-4
Site Plan Name:
Project Name: WAYNE SCOTT
Setbacks Front Back
Right Side: Left Side:
Lot No. 276
Block No.
ACCORDIONREPLACE• •. SIZE. SHUTTER
WINDOW.1 L1 850.3 FIXED 17-0614.09
F� HVAC
FlElectric
l-1 Gas Tank
Plumbing
Total Sq. Ft of Construction: 3827
Cost of Construction: $ 13778
E]Gas Piping
11 Sprinklers
r I Shutters
DGenerator
Windows/Doors
❑ Roof
Sq. Ft. of First Floor: 2612
Utilities: 0_ Sewer E Septic Building Height: 12'
Name WAYNE SCOTT
Address:
3214 BENT PINE DRIVE
City: FT PIERCE State: FL
Zip Code: 34954 Fax:
Phone No. 772-486-6339
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Roof pitch
Name: MICHAEL O'DONNELL
Company: O'DONNELL IMPACT WINDOWS & STORM PROTECTION
Address: 6402 SE FEDERAL HWY
City: STUART State: FL
Zip Code: 34997 Fax: 888-833-0167
Phone No. 772-408-0200
E -Mail: richie.roberts@expeditepermit.com
State or County License: CRC1331273
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.