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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11/15/2018 COUNTY F L O it [ Q A 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 LOCATION: Address: 8008 MEADOWLARK LN, PORT SAINT LUCIE, FL 34952 Legal Description: THE PRESERVE AT SAVANNA CLUB-BLK 45 LOT 35 (OR 3636-232) Property Tax ID #: 3425-706-0047-000-2 Site Plan Name: POPE Project Name: POPE Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Lot No. 35 Block No. 45 RAN NEW 20 AMP WIRE FOR MICROWAVE AND NEW 30 AMP WIRE FOR THE WATER HEATER. CONSTRUCTION INFORMATION: Aaditional work to be rTormed uncler this permit— c e�aappy: ®©HVAC Gas Tank❑Gas PipingMGenerator Electric 0 Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 1851.35 OWNER/LESSEE: Name BEVERLY POPE Address: 8008 MEADOWLARK LN City: PORT SAINT LUCIE Zip Code: 34952 Fa) Phone No. 772-812-0389 SFt. of First Floor: _ Utilities:Sewer L_J Septic State:FL E -Mail: Fill in fee simple Title Bolder on next page ( if different from the Owner listed above) CONTRACTOR: Windows/Doors Roof Roof pitch Building Height: Name: JOHN PANKRAZ Company: ELITE ELECTRIC AND AIR Address: 1691 SW S MACEDO BLVD City: PORT SAINT LUCIE State: FL Zip Code. 34984 Fax: 772-340-3702 Phone No. 772-340-3797 E -Mail: PERMIT@ELITELELECTRICANDAIR.COM State or County License: EC13006036 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: � Not A Name: Address: City: Zip: Phone FEE SIMPLE TITLE HOLDER: Name:_ Address City:_ Zip: Phone: 1691 SW S MACED68LVD State: Not Applicable MORTGAGE COMPANY: Name:_ Address: City: Zip: Phone: BONDING COMPANY Name: Address: City: Zip: Phone: c� Not Applicable State: Not Applicable 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. Signature of Owner essee/Contractor as Agent for Owner Signature of Contractor/Lic e Holder STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this i'- day of ,! , 20 by Name of person making statement Personally Known X OR Produced Identification Type of Identification Produced KONNI LENAE OEWITT 2 Notary Public- State of Florida Gommissioni es Oe1 16015021 (Signature of Notary Publ' SyE` t ;cif FWdgjughNatonalNotaryAssn. Commission No. Gt'Iwo. (Seal) REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before rime this i day of e,l: 2nice; by Name of person making statement Personally Known >C� OR Produced Identification Type of Identification Produced KONN''" ;.• t; Y' ,n,, Notary Pu LENAE tte of Ro n:Notary Public- Slate of Florida •� ktCdi , Commission # GG 166995 (Signature of Notary P lig: ,t cdcj6orid }atiooa,NotaryAssn. Commission No. L,c rle'& Ott (Seal) PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW