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Building permit application
All APPLI- ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Alarming and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: PLUM BI ISG PROPOSED IMPROVEMENT LOCATION: Address: 30 LAKE VISTA TRAIL #105 Permit Number: '0?tm -- Building Permit Application Commercial Residential t."l Property Tax ID #: 3422-500-0411-000-4 Site Plan Name: MCARDLE - VISTA ST LUCIE BLDG 30 UNIT 105 Project Name: MCARDLE -- Lot No. 105 Block No,. I DETAILED DESCRIPTION OF WORK: I WATER HEATER REPLACEMENT M I CONSTRUCTION INFORMATION: Additional work to be performed under this permit –check all that apply: _Mechanical Gas Tank_ Gas Piping _ Shutters _ Windows/Doors _ Electric r/Plumbing _ Sprinklers Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ 1995.00 Sq. Ft. of First Floor: Utilities: _ Sewer — Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameMARY MCARDLE Address:30 LAKE VISTA TRL #105 Name: RICK POLLAND Company:SERVICE EXPERTS City: PSL State: Zip Code: 34952 Fax: Phone No. 772-873-5416 Address:840 dUPIRER PK DR #110 City: JUPITER State: FL Zip Code: 33458 Fax: Phone N0561-972-5146 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail CANDACE. DANIEL@SERVICEEXPERTS.COM State or County LicenseCFC056645 er value or consxrucuon is :�czau or more, a KtwKueo Notice of commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAUD INFORMATION: f1 DESIGNER/ENG—IN EER: _ Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: Zip: Phone: City: Zip: Phone: AIA/w1P ft/I.A.-.--- . Name of person making statement. w—u—ni a.vi■ i RIi4i un mrriuvi i : 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 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 " f1 Signature of Owner/Lessee/ ntract r s Agent for Owner , Signature of ontractor/Lice a Holder STATE OF FLORIDA STATEOFFLORIDA COUNTY OF ST LUCIE COUNTY Y ©FSTLUCIE The forgoing instrument was acknowlediAd before me this 21 day of APR 2by The forgoing instrument was acknowledged before me 21 APR , this day of 2. by Name of person making statement. Name ot person maki g Stat'emlent. Personally Known x OR Produced Identification Personally Known x OR Produced Identification e of Identifi. pe of Identifi Pro uced `; jnRYP� ,, CJ4AJI?nCE DAh'IEI. P duced �yU - - ;* ;3 qty CuM€SSICN ## GG 336663 a•` I AI1lEI_ w , lu ( COMMISS€QN # GG 336667 EXPIRES: August 5, 2023 'fFav€w°�• Bflnded Thru Notary Pu:ic Ur;deavinte�s i � v , s . EXPIRES 4�.g� ist 5, c�?:3 I �-_ o�";,.? po�;e*J Fi�ru Nota P,i7z;' 4 Undenvritets (Sitary Public- State of Florida) ig ture of Notary Public- State of F ori a CoTi� on No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED C\7