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All APPLICABLE INFO MuSrBE.CCIMPLETED:FOR.P PPL(cui.ONIO BE ACCEPTED
'Permit N.rriber.
-- B.luItd:>rng PrmI,t Appa>Icn .
P.ldnning-pnd DeuelapmentServices,; 4��pia �
Banding and Code'Regulation Division
2301)Virginia AVenue,Fort Pierce_Ft 34982
Phone.(772)462=1 53 Fax:-(772),46245-79 Commercial Residential.X
PERT IT'TYPEpLIJ"MBING=
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Address: 161 BANYAN.DR, Port Saint Lucie„FL 34952 `
Property Tax It}##:;341;9520 OU27-000_x. tot No.
Situ Plan Name; Block No. 136
Priject'Name CARI"GNAN
D:ET�AI'LED DE�SCRI�P`h ON OF 11V®:RK:
RELOCATION OF WATERLINE
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STRUCTI"DN 'NF( R11lIA fON: was
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Additional work:to be performed: under this permit–check.ali that apply
1lllechanical Cas Tank. _Cas Piping Shutters; �,t1VJindows/,Doors
Electric., Plumbing _Sprinklers —Generator Roof Pitch
Total Sq-. Ft of Construe-.tion: x,486 Sq: Ft.of'Fl N66r:
Cost-of Construction:$2739 Utilities: _SeWer Septic Building Height:
a& RR/I..EssE : eoN RACTOI :
Name SCOTT'&VALERIE CARI,GNAN Name;PAt1L CLOt1TIEFZ
.Address:161 BANYAN DR: Cornpany:FPL HOMESERV;I:GES
City PORT SAINT LUGIE._w _ . . State: Address 6001'VIL)rAGE BLVD
Zip.Code: 34952. Fax: City:'WEST:PA'.M BEACH
State:FL
,Phone.No.772 175.5688 Z10 Code-..33+07 Fax:
E-1Vfail:: Phone.No561 747=5740
NATALIE,Gt}ODS4N FPL,COM
Fili jn feeaimpieI tleMolder on next page(.if.different E-Mail. .
from the.O.wner.listed above) State or.County Li;enseCFC143033T -
it value all"Onstrciction..is$2500 or iffidird,a RECQRDED:•No lee of Commencement is re-cjuired.
If value of HV is$?;500 or snore;a;RECORDED Notice of Commencement is required. 501— 522
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SIJIP,�EIVi. ,NA C®NST' U'C1"I®N 1`EN LSA; ` I.N "® ; A '!�®:hV:
DESIGNER/ENGINEER: _Not A -plicab a MORTGAGE`COMPANY Not Applicable:
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Name: Name.: -
Address; z. Address _..
City::. State: _ City',._. . to e
Zip.: Phone:: Zlp .Phone:,
FEESIMIR TLEHOLD,ER: =NotAppiicable BONDING�COMPANY: =NofApplicable .
Name Name::
Address:. _ Address:
City: _ . _ City: .
Zip: Phone - - Zips Phone:
OWNER 'CONTRACTO�RAFFIDVIT:Application is:hereby.mWe-to obtain---a permit.to dathe work and installation.as indicated.
I cer*t.hat no work or install' tion'has commenced prior to.the i's_suance.of a permit.
St.Lucie Countyy makes no:representatiori:that is;.granting a permmt:will authorize,-th.a permit hold_erto build the-subject structure
which is in confiictmith any,appltcable_Home.•Owners Assot ,tion rules;bylaws:or and covenants that may,resfr:.ict-or prohibit such'
structure.Please consult with your Home-Owners As`sociatio.n.andrevie`- your deed for any.`restrictions which may apply:;
In consideration ofthe granting of this requested permit,[.do hereby agree that 1 will,in all respects,perform the•work
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t In accordance with:the approved plansi,the Florida-Building Codes and St:.Lucie County.Amendments
The,following buiidingpermit.applications:are-exempt from undergoingafull concurrency review:room.additions,:
accessory structures,swimming pools;fences;;walls,signs,,screen rooms and accessory,uses to anofher'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 'THE JOB SITE BEFORE THE FIRST INSPECTION:;IF YOU INTEND. A F ANCING -CONSULT
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WI AN ATTORNEY BEFORE RECORDING YOUR NOT ECO ENT.
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Sigiiiature.of 0w r- /Contractor as Agent'for Owner Signature of Conti,c0f, License Holder j
STATE OF FLORIDA STATUif FLORIDA
COUNTX°OFSt de 'COUNTY O,Fstwde
The.forgoing instrurnent-was acknowledged.before me The forgoing i'nstrumen't was acknowledged before:me
tf11S Z day'Of JANUARY, _ ay f JANUARY'
, y l2 by
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Name,of'person making statef lent Name of person:making statement.
Persona y Known OR Produced identificatlon Person y Known OR Produced Identification;.
Ty i .en'tificati. Type,_f I enti ation `
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(Sig 'a re.of Notary Publtc . _ae F i Si'n re.of Nota'iy.Public=State:
aY Pu Nota Public State oi:Ftonda "P"
oti o� iota Public State of ro
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Commission No.. _ n fie LA PAU.LINO' = 7
ommtssion No; ��a ESELLA P
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My Commisslon GG 153455: y My GommisswmGG 15 b
9if- off. Expires tOt151202'f� �horn�4Expiies'10/'E 5/2027
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REVIEWS FRONT ZQNING"
.SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW' REVIEW REVIEW' .REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.;
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