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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ✓�
Date: �rS Permit Number:
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� Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 270 Marina Dr Hutchinson Island, FL 34949
Property Tax ID #: 1425-701-0127-000-6
Site Plan Name:
Project Name: Panter
DETAILED DESCRIPTION OF WORK:
Lot No.14
Block No. 5
Remove bearing wall and add LVL header. Change out 4 openings: 1 window, 2 sliders, and one door with Impact
New Electrical Meter Second Electrical
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 18,000.00
_Gas Piping
_Sprinklers
_ Shutters
_ Generator
` V Windows/Doors
Roof
Sq. Ft. of First Floor:
_ Pond
Utilities: _Sewer _Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Richard & Martha Panter
Name: Don Hinkle
Address: 270 Marina Dr
Company: Don Hinkle Construction Inc
City: Hutchinson Island State: _
Zip Code: 34949 Fax:
Phone No.
Address.246 Bimini Dr
City: Hutchinson Island State: FL
Zip Code: 34949 Fax: 772-467-1348
Phone No 772-528-2249
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail donhinkle@bellsouth.net
State or County License CGCO36040
If value of construction is 250D or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN, LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 Count}yy 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencing work or recording; your Notice of Commencement.
as Agent for Owner I Signature
STATE OF FLORIDA ��eFLORIDA —(
COUNTY OF U.C_ COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
`/ this li day of .1�0_2020 by
l cm LU,
Nam person making statement.
Personally Known OR Produced Identification
Type of Identification nn
ProducedU✓�
(Signature of Notary Public- State of Florida )
Commission No. """r' EL AUGHN
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-State of Floridw-u.,...
REVIEWS
COUNTER
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day o �, 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identificatic}gr-,r ,^f
(Signature of N - c,-sStat�btl9bfi
Fe rate of Floric
in Commission
Commission No. ��;a�...,,«c`
REVIEW PLANS I VEGETATION
I S REVIEWLE I MANGROVE REVIEW