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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/11/2020 Permit Number: 3• oa?(P
Building Permit Application MAR lq RC�@VED
ED
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 5109 S. Indian River Drive Fort Pierce, FL 34982
Property Tax ID #: 340160100050000
Site Plan Name:
Project Name: Cracolici
DETAILED DESCRIPTION OF WORK:
New Residential Dock
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction: 660
Cost of Construction: $ 35,811.00
_Sprinklers _Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors
_ Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameAlbert Cracolici
Name: Beau Sommers
Address:5109 S. Indian River Drive
Company: Riverside Docks
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.
Address:722 Bahia Mar Rd.
City: Vero Beach State: FL
Zip Code: 32963 Fax:
Phone N0772-538-5829
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail beausommers@comcast.net
State or County License CGC1 505846 SLC 30992
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.
I
I/
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Schuike, Bii6e & Stoddard, L.L.C.
MORTGAGE COMPANY: _ Not Applicable
Name:
Add reSS: 1717 Indian River Blvd. Suite 201
Address:
City: Vero Beach State: FL
Zip: 32960 Phone 772-770-9622
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 Countcyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conWict 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 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."
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Sign6tu roffContract/License Holder
Signature Owner/ Less a/Contractor as Agent for Owner
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this day of� 20 by
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Name of er on making statement.
Name of person makingstatement.
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Personally Known OR Produced Identification
Personally Known "� OR Produced Identification
Type of cation
Type of Identification
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Commission No. .•:M+?�'•. AUDREYB(�HREY
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cY EXPIRES:March 6,2023
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