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Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: tf Permit Number: c RECEIVED e - - Building Permit Application DEC272019 Planning and Development services Permitting er Building and Code Regulation Division st. Lucie County ent 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMITTYPE: Structural P ROPOSED' IMPROVEMENT LOCATION• , gx•a Address: 3910 Dune Side Dr Property Tax ID #: 1423-566-0034-000-8 Site Plan Name: Project Name: Bentley CONSTRUCTIONiINFORMATION Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _Electric _Plumbing _Sprinklers _Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ (l(/ Utilities:- _Sewer _Septic Lot No..3/ Block No. Windows/Doors Roof Pitch Building Height: OWNER/SSE ,E<,'�''� _,. CONTRACTOR 1NamrMnilio Name: Michael Sonsini - - AddresPPo?/' tv 0/ QYr , Company: R & S Assembly D/B/A Screen Build&s-. City: State: F1 Zip Code: •�y,r�Acmq F x: PhoneNvi�a.Jtl� Address:8451 McAllister Way City: West Palm Beach State:Fl Zip Code:33411 Fax:561-793-5804 Phone No 561-793-6029 E-Mail:l �i) l lj(yy ,C6i1� Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail permits@screenbuildersinc.com State or County License RX0066796 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. DESIGNER/ENGINEER: Not Applicable Name: FBC Plans & Engineering Services, Inc Address: 6272 Abbott Station or # tot City: Zephyrhilis State: FL Zip: 33542 Phone 913-788-5314 FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Address: 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 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." Signature o wner/ Lessee/Contractor as Agent for Owner ' Sign ay re of Contractor/License Holder STATE OF FLOR1rQ�% f,, COUNTY OF 6L%1lJ STATE OF FLO /� Q,,� _/ COUNTY OF & Z h /L///n l Ift The I oing instr a it�was ackno�wledg efore me this��/� day ofk&e� 20 by The for ing mstr ment wa ackn wledg efore me thisXday of 20�by NIIedyoA MIdlae! LS/pnsin l Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR identification Type ofldentificatio VIVIAN 0. EK �� Notary Pub Produced �, Public -State of Identification FPdA ed ,�M7o"',, VIVIAN 0. E P Commission # GG 3 ;Notary public•Stata 7696 3y •`- Commission # GG My Commission Ex "°��•• March 04, 202 '•$,wfn,..``' MY Commission CLL...ttt March 04, 20 (Signature of Notary Public-Sta a of Florida) (Signature of Notary Public- ate ofFlori a Commission No �D (Seal) Commission NoGi��O (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW VIEW REVIEW REVIEW REVIEW DATE RECEIVED AIL DATE COMPLETED Rev.2///19 1