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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER. Not ApplicableMORTGAGE
COMPANY. Not Applicable
Name:
Name:
Address:
Address.
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER. Not Applicable
BONDING COMPANY. Not Applicable
Name:
Name.
Address:
Address.
City:
City*
Zip: Phone.
Zip: Phone:
OWNER/ CONTRACTOR A FI VITQ 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 T ® YOUR FAILURE TO RECORDA NOTICE OF COMMENCEMENT AY RESULT IN YOUR PAYING
TWICE FOR IMPROYEMENTS TO YOUR RTY. A NOTICE OF COMMENCEMENT 11 T BE RECORDED AND
POSTED ON THE JOB SITEE THE FIRST INSPECTION. IF YOU INTEND TO OBTAINFINANCING, CONSULT
WITH YOUR LENDER N ATTORNEY BEFORE RECORDING YOUR TI E OF COMMENCEMENTwyy
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r
Signature of Contractor/License Holde(
Signature of Owner/ Lessee/Coroactor as Agent for Owner
STATE OF FLORIDA �-- I
COUNTY OF
STATE OF FLORIDA
COUNTY OF �Cr�L
The forgoing instrument was acknowledged before me
this i day of 1 t , 20 by
The for oing instru en was acknowledged before me
this day of , 20 by
Name of person mal<ing statement.
Name of person making statement.
Personally Known 54OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Prod
ProjiLQa
Richle
(Signature of Notary"Public- Stat ' a nlMARY ILIG
Commission No. AT @y DA
C&" FF9M
0 m 61412020
(Signature of Notary Public- StatePL4STATE OF I
Commission No. 'a a
=2 61
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19
Date:
Permit Number:
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
lWW
Property Tax ID #: 1436-602-0013-000-4
Site Plan Name: FORT PIERCE SHORES UNIT 5
Project Name: MARIEANNE KESSLER
REPLACE 4 IMPACT GLASS WINDOWS SIZE FOR SIZE
NOA18-0430.06
Additional work to be performed under this permit —check all that apply:
_Mechanical
_ Electric
_Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 2138
Cost of Construction: $ 5233
Name MARIEANNE KESSLER
Address; 124 IGNACIO VALLEY CIRCLE
City: MOVATO
Zip Code: 94949
Phone No, 631-603-8131
Fax:
Gas Piping
_
_Sprinklers
Shutters
_
Generator
Sq. Ft. of First Floor: 2138
Utilities: _ Sewer _ Septic
Name: ROBERTO SANCHEZ
Block No. 28
Windows/Doors
Roof
ilding Height:
Bu
Company: Ignacio valley circle
Address: 6500 NW 12TH AVE
City: FT LAUDERDALE
Zip Code: 33309
Phone No 407-469-5599
Pitch
12'
State: FL
Fax: 407-469-3499
E-Mail richie.roberts@expeditepermit.com
State or County License CGC1522717
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of FIVAC 0s $7,500 or more, a RECORDED Notice of Commencement is required.