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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: �1• � �� PermitNumb •� � �' 0
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C EIVED
Building Permit Application NOV 14 2019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 t. L c iy. CO u n ty, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial R
PERMIT APPLICATION FOR: Demolition
PROPOSED IMPROVEMENT LOCATION
Address: 2023 ST LUCIE BLVD LOT 21
Legal,Description: WHISPERING CREEK CO-OP(OR 1469-2744) UNIT 21
Property Tax ID M 1433-504-0016-000-5 Lot No. 21
Site Plan Name: PHOTO 21 Block No.
Project Name: WHISPERING CREEK LOT 21 DEMO
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF 1NORK
DEMO EXISTING MOBILE HOME AND REMOVAL OF DEBRI IQ' X Li 8
:CONSTRUCT IQN lNFORMATIO'N
r
Additional work to be performed under this permit—c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
nElectric El Plumbing Sprinklers I Generator F] Roof Roof pitch
Total Sq. Ft of Construction: HIM S . Ft.of First Floor:
Cost of Construction:$ 2,200.00 Utilities:ll Sewer Septic Building Height:
OWNER/LESSEE y;, CONTRACTOR
Name WHISPERING CREEK CO-OP INC Name: GENE BRITT/CHASE PEARCE
Address: 2023 ST LUCIE BLVD Company: CHASE LAND SERVICE, LLC
City: FT. PIERCE State:FL Address: 26532 E STATE ROAD 78
Zip Code: 34946 Fax: City: OKEECHOBEE State:FL.
Phone No. 815-557-1988 Zip Code: 34974 Fax:
E-Mail: Phone No. 863-447-7009
Fill in fee simple Title Holder on next page(if different E-Mail: TRDENTON88@GMAIL.COM
from the Owner listed above) State or County License: CGC1527179
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL GONSTRUCTION3LIEN LAW INFORMATION
... _
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: C Not Applicable
Name:a 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 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.
Signa a of Ow r/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF L_kCi ic co COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 13 day of ��J ,20Iq by this IL day of _UCS .20 19 by
Canyl� �C3 nhrg P QPM rce
Name of pers n making Aatement Name of person�aking statement
Personally Known OR Produced identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced - - - 335-d Produced
(Sign t re' f N t ry Pu ic-State Notary ublic-State of Florida
..."`,, TIFFANY RENJEEf
Comm o.L� �'l3 �`{o� .. ,t. MYCOMMISStONo. !? '•s( T ANY RENEE DENT
%+ Q?: EXPIRES:J - gSION#t33
:0. July 31 20
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17