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All APPLICABLE INFO MUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10!2612020
I M�.. TCM -
Permit Number:
B uilding Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR9
:
Commercial
PROPOSED IMPROVEMENT LOCATION:
Residential XXXXX
Address: $537 BELFRY PLACE
Property Tax ID #: 3327-7011-0049-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
BUILDING SCREEN ENCLOSURE
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check SII that apply:
Mechanical
Gas Tank
_Gas Piping
Shutters
Windows/Doors
Pond
_Electric _Plumbing � Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of first Floor:
Utilities.* _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameCARL WILLI Name: MARIO RUSSO
Address:8537 BELFRY PLACE Company: MARIA RUSSO ALUMINUM
City: PORT SAINT LUCIE State: Address: 29'1 SW DUVAL AVE
Zip Code: 34986 Fax: City: PORT SAINT LUCIE State.,* FIL
Phone No.401-855-1629 Zip Code: 34983 Fax:
E -Mail: Phone No772-370-8671
Fill in fee simple T'Itle Holder on next page ('If different E -Mail russocustomflooring@yahoo.com
from the Owner listed above) State or County Licenshe 30367
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.
r
S,UPPLEMENTAL CONSTRUCTION
LIEN LAW
INFORMATION:
DESIGNER/ENGINEER: _Not
Namee FLORIDA ALUMINUM ENGINEERING
Address: 5601 MARINER STREET SUITE 240
City: TAMPA
Zip: 33609 Phone 813374-2403
Applicable
State: FL
MORTGAGE COMPANY:
Name:
Address:
City:
Zips*
_Not Applicable
State:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
C I, ty
Zip: Phone:
Not Applicable
BONDING COMPANY:
Name:
Address:
City:
_Not Applicable
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 Perrnit will �uthorixe the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or ar�d 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 agrf
in accordance with the approved plans, the Florida Building Codes and St.
that I will, in all respects, perform the work
Lucie County Amendments.
i ne tmowing auiiaing permit appiications are exempt rrom unaergoing 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 othe jobsite before the first inspection. If youj*end to obtain financing, consult
with lender or an,aa6rns4before commencing work or recordin
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF \ -C
�ifCiE
Swgr-n to {or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization
this day of dm�, 2020 by
d IJb]S
Name of person malting statement.
Personally Known %00�
Type of Identification
Produced T)1
RW
(Signature of Notary Public- State of Florida )
Commission No. WSZ`(0 (Seal)
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
ev-5767��
FRONT
COUNTER
ZONING
REVIEW
�R. a
M
0
SUPERVISOR
REVIEW
ice of Commencement.
Signature of Contractor/License Holder
STATE OF FLORIDA 000,10
COUNTY OF SrL(AC,IG
Sworn to (or affirmed) and subscribed before me of
physical Presence or Online Notarization
's day of
Iwoa on
41 me of person making statement.
2020 by
personally Known &o' OR Produced Identificatio
ype of Identification
rod uced n C_.'aw
'{Signature of Notary Publidl- State of Florida )
Commission No, l 0 � 2—A (00 (Sell)
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW'
Mf ZZ
12
Mips
MANGROVE
REVIEW