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All APPLICABLE INFO MUST BLI--_'MPLETED FOR APPLICATION TO BE ACC". ,.`.D G
aermit Number: '7o01 % r®9l /
Date:
Planning and Development Services
Building Permit Application
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR:
:PROPOSED ,IMPROVEME,NT LOCATION ` ,
h ,
Address: 10701 South Ocean Drive Lot # 892, Jensen Beach, FL 34957
Property Tax ID #: �1 -C en1 3 Lot No.892
Site Plan Name:
Project Name: Butler Deck and Pergola
Block No.
DETAILED' DIESCRIPTION:OF WORK
Frame wood deck frame according to engineer approved desgn plan nd in accordance with State and local building codes.
Install Composite Deck boards with hidden fasteners, Install vinyl rail system according to manufacturers specifications.
Frame and construct Pergola structure according to approved plans and in accordance with State and Local building codes.
New Electrical Meter Second Electrical Meter
CONSTRUCTION LNFORMAT.ION
,.
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 180 sq.ft.
Cost of Construction: $ 13,500.00
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
ER/LESSEE k.,
TRA?CTOR: CON
NameTracy Butler
Name: Gerald Carson
Address:10701 South Ocean Drive Lot # 892
Company: Construction Rescue Inc.
City: Jensen Beach State: _
Address:9840 Primrose Drive
Zip Code: 34957 Fax:
City: Micco State: FL
Phone No.
Zip Code: 32976 Fax:
E-Mail:Tlbutler@yahoo.com
Phone No 772-571-7642
Fill in fee simple Title Holder on next page ( if different
E-Mail construction rescuefl@gmail.com
State or County LicenseCGC062170
from the Owner listed above)
If value of construction is 2500 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.
i
DESIGNER/ENGINEER:
Name:_
Address:
City:
Zip:
Phone
Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
Name:_
Address:
City:_
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 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 attorney before commencing work or recording your Notice of Commencement.
' Ae-�
Sign atu re'60 Owner/ Les ee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
bh
( na re of Notary Public tate b5f Florida )
Commission No. off'"``9�c; LASHAHNAIN HMING
*: *_ OMMISSI N G 275060
EXPIRES: December 20, 2022
;9 u
C� - .
' 7j;,4Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF�.�.r
Sworn to (or affirm e subscribed before me of
Physical Presence or Online Notarization
this day of 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
( na ure of Notary Publi State of Florid
Commissio`'� LASHAHNA INGRAM-RA 1SIN81
,; *_ MY COMMISSION # GG 275060
b _'o`_= EXPIRES: Decemher9n MT)
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F ;,,,•i3onjeo
I nrU Notary FUDIPC
of F ,,. Bonded Thi
u Notary Public Underwrite
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ev. 5/6/20