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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a PermitNumber:
4;6,
Building Permit Applicotion SUN 0 0 2020
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT TYPE: t it j
PROPOSED IMPROVEMENT LOCATION:
Address: TBD Gopher Ridge RD
Permitting '.. eepas tment
St. Lucie County, FL
Property Tax ID #: 3404-805-0024-000-4 Lot No.
Site Plan Name: J A SMITH'S S/D LOTS 24, 25, 26 AND 27 (0.62 AC) Block No.
Project Name:
`DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
X Mechanical _ Gas Tank r Gas Piping _ Shutters
xElectric x Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 2300 Sq. R. of First Floor: _
Cost of Construction: S. 222,900.00 Utilities: —Sewer x Septic
x Windows/Doors
X Roof 6/12 Pitch
2300
Building Height: IT
'OWNER/LESSEE:
CONTRACTOR:,
Name Salvador Garcia Jr
Name: Mark Montalto
Address: 5901 Balsam DR
Company: Port Saint Lucie Properties, INC
City: Fort Pierce State: FL
Address: 201 SW PSL BLVD Suite 103
Zip Code: 34982 Fax:
City: PSL State: FL
Phone No.. 772-359-7418
Zip Code: 34984 Fax:
E-Mail:
Phone No 772-249-0086
Fill in fee simple Title Holder on next page (if different
E-Mail pslpropl224@gmail.com Pslpropl@gmail.com
from the Owner listed above)
State or County License cbc1263072
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW IN
RMATION:
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Bowdin G Hutchison P.E.
_
Name:
Address: 806 Deleware Ave
Address:
City: Fort Pierce
Zip: 1498Y. Phone -
State:
- 411
City: State:
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 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
"WART ING 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 TH JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LUdDEWOR AN ATFORNEY BEFORE RECORDING YOUR NOTKE OF COMMEN "
Signatur f Owner/ Less/Contractor as Agent for Owner
Signatu 4 of Contractor icense Holder
STATE OF FLOW
STATE OF FLOTP fucie
COUNTY OF ucie
COUNTY OF
The fo�Qing instrunt was acknowledges before me
""day may
The forinstrugant was acknowledge before me
Y
this of 20_ by
this day of . 20_ by
Mark Montalto
Mark Montalto
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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1-�&L�_ <f��
(Signature of No
is-�@L€b
(Signature of Notary Publi
-�t�t�.q L LOBRUTTO
Commission No.
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c = Commission # GG 912664
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Commission No.
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=*: Commi �Ti,o,nIiGG 912684
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Bonded Thru TroyFain Insurance 800.385.7010
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P ; Expirl 12, 2024
o'r'itq. ' Bonded Thru Troy Fain Insurance 800385.701
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED.
Rev. 2/7/19