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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �' �"•� Permit Number: 7-005 (06^'� T
gi: Ma
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w,.,. Building Permit Applic tion MAY 2020
Planning and Development Servicess ;.,
Perm IU �`,<,�q -;,��_,urt e11z
Building and Code Regulation Division -
2300Virginia Avenue,Fort Pierce FL 34982 St� L ode' COUrttVr FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial R srden -i-aP- ---- - --
PERMIT TYPE:
PROPU�EQ 1;IVIPROVEME(VT LOCATION
. ..
Address: 0 a vg��-< @, r�
Property Tax ID#: C ': `S G t)` n alt 41 -OoG- 7 Lot No.
Site Plan Name: Y,-e-c�M 6L 2�e IL Block No. �3
Project,Name:
3f t £
DETAILED DESCRIPTION
a— U 1,CpkG f d� 2. C+.
77
RCtl [SRUTitN INt=ORMATION � ��
Additional work to be performed under this permit—check all that apply: �r
_Mechanical _Gas Tank ✓_Gas Piping _Shutters Windows/ rs
"Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ Ll Utilities: _Sewer _Septic Building Height:
77, 77
WNER/LESSEE
CONTRACTOR
Name e.��55 � c� !.�� L'�c�C,�'��� Name:JAMES D. DAVIS
Address: l7 a Lp6s-),-t,r ; ;cl Company:3&G CARPENTRY, INC.
City: ?Ort (_L)c►e State: Address:13461 79TH CT. N.
Zip Code:3 '�tC, 'Z Fax: City: WEST PALM BEACH State:FL
Phone No.—1`1Z— 1 CiS`� Zip Code: 33412 Fax: 561-855-4054
E-Mail: 'lam nZaseL �Of _e FMCS _ C)fJ7 Phone No 561-855-4052
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License CGCO22831
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.
1 +
StJPPkLE1Vt NTAI CONSTRUCTlQN IEN t CNF4]FtMAT10N
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DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: Not Applicable
Name: 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 thepermit 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."
A
Signature of Owner/Lessee/Contractor as Agent for Owner INnature of Contractor/License Holder
STATE OF FL�OWDA STATE OF FLORIDA
COUNTY OF COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me The for ing instrument was acknowledged before me
this day of 2(32c+� by this day of-HOA1 20070 by
JAMES D.DAVIS
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known X OR Produced Identification
Type of Id Ification {�,,,� `� Type of Identification
Produced�_sl 1�,{Q QtT� Produced
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( i natu of Nota - I Si na re of No ar Public ° Florid ULLAYOUNG
� r ory" l c Iffie OADL£Y ( g Y ` Commission#GG 568864
Notary Public-State of Florida
Commission No. 4' tommissio(%Qg946513 Commission No. NT as E e�fps{l12 2024
`•..,o fl,.r My Comm.Expires Feb 12,1024 FOFPoQ\ BonM7hruiiudgetNotwyServI=
lo� "Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLAN5 VEGETATION SEA TURTLE
MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.