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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater Permit Number:
RECEIVED
D D
SEP 10 2020
Building Permit Application
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMITTYPE:
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PROPOSED IMPROVEMENT LOCATION:
Address: 1413 NW Winters'Creek Rd,Palm City,FL 34990
Property Tax I D#:4426-825-0011-000-3 Lot Noll)
Site Plan Name: Block No.
Project Name: Sean Duerr
DETAILED:DESCRIPTIO.N OF WORK:
Install Hurricane Protection Products on(3)openings
CONSTRUCTION,INFORMATION
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping Shutters _Windows/Doors
Electric —Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction:, Sq. Ft.of First Floor:
Cost of Construction:$ 11595.30 Utilities: _Sewer _Septic Building Height:
:OWNER/LESSEE: CONTRACTOR:
NameSean Duerr Name:Brian Rist
Address:1413 NW Winters Creek Rd Company:Storm Smart Building Systems
City: Palm City State:FL Address:6182 Idlewild St j
Zip Code: 34990 Fax: City:Fort Myers State FL
Phone No. Zip Code: 33966 Fax. 884-330-8277 i
E-Mail: Phone No 561-229-0048
Fill in fee simple Title Holder on next page(if different E-MailPermitting@StormSmartSE.com
from the Owner listed aliove) State or County License CRC056857
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.
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:-
DESIGN ER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Add ress: I Add ress:
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.
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 IMPROYEMENTS 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 of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_ f2FpC COUNTY OF !PBC- _
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�2 day of Jl&A2,Y _,20aC by this day of JW44 20jQ by
Se, an .D
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced L Produ
{Signa sh
of Notary blic-Statea } a arzue a {gnatu f N Public-State of Flc�i s wee
aQ q ��NOTARY PUBLIC Q �, so� NOTARY PUBLI
y TATE OF FLORID ����72 STATE OF FLO I
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REVIEWS FRONT ; ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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COMPLETED
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