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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: L4-1D-L 4 Permit Number: C�'D
RECEIVED
APR 1 ®
COUNTY 1018
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IMMINIMMEMENNSili Building Permit Application 't�u9e epa mgnt
Planning and Development Services County
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: Demolition
PROPOSED IMPROVEMENT LOCATION
Address: 161 SE Serenata Court, Port St Lucie, FL 34983
Property Tax ID#: 3419-540-0131-000-1 Lot No.5
Site Plan Name: River Park Unit 5 Block 46 Lot 27(Map 34/28N) Block No. 46 L
Project Name: Murrell Residence
DETAILED DESCRIPTION OF WORK::
legowlewn an existing patio room on west side of house including 2 sides of jalosie windows.
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The windows are on the west side and north side of this room. gldeci
Also tearing down the existing shingle roof over this room. The other2 walls are_existingconcrete_and will.stay:
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 110 Sq. Ft.of First Floor: 110
Cost of Construction:$ 600.00 Utilities: _Sewer _Septic Building Height: 8'
OWNER/LESSEE: CONTRACTOR:
Name Miriam Sue Murrell Name:
Address: 1904 Bermuda Circle D4 Company:
P Y:
City: Coconut Creek State: Address:
Zip Code: 33066 Fax: City: State:
Phone No.754-204-1248 Zip Code: Fax:
E-Mail:admiralsue722@gmaii.com Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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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 TITLE HOLDER: 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 represu
sentation that is granting a permit will authorize the permit holder to build thesubject 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 I
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
Signature of ner/Lessee/C ntractor as Ag- t for Owner Signature of Contractor/License Holder
STATE OF FLORIDA c ` STATE OF FLORIDA
COUNTY OF �(jt..� _ COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this /0 day of e.. ,20 j9 by this day of ,20 by
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Mkcn VVA
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced ! L_ Pe- Produced
FlUsa.1 ill
(Signa•- ••�....i:..r, --+= 3-�. 1 j.a (Signature of Notary Public-State of Florida)
ELE
O�""YP�°<'- State -01f Florida-Notary Public
Comma, i^ Commis�n # GG 27((B l) Commission No. (Seal)
;`1ii1 e' My Commission Expires
'4' ss October 22,1--- ..." ---.--7-.-- ---2022 _
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ley.2/7/19
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