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Date: Permit Number: % o I •-a
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55401LUC E RECEIVED
o � NOV 2 3 1010
BLIi1QIng Perm t Hp jJ11Cat10f1 Pefffli�tin, Department
Planning and DevelopmentSeivices St. Lucie County
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:
PROPOSEDINIPROVEMENTLOCATION
Address: 8305 BAYARR'D^^ROAD; FORT PIERCE, FL 34951
Property Tax I D #: JtJ I U 015 0 :5 0 00 _(0 Lot No.� _
Site Plan Name: PorO\ A& I -I , Block No. 1;
A Project Name: 1)yMk CUN)_!"
NEW METAL ROOF; ADDING TRUSSES AND EXTENDING CURRENT ROOF OUT OVER BACK PORCH AREA
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator X_ Roof t' �- Pitch
Total Sq. Ft of Construction: 31200
Cost of Construction: $ 1 `J ! 000
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:.
;ate
OWNER/LESEE *a.. ,��
x°ONTRACTdR W� ,
NameAIMEE L ROCHEDIEU MALVITA & JOSEPH MAI,VITA
Name:,
Address:8305 BAYARD ROAD
Company -
City: FORT PIERCE State: _
Address:
City: State:
Zip Code: 34951 Fax:
Phone No.772-643-5530 OR 772-538-7818
Zip Code: Fax:
E-Mail: aimeeinspires@aol.com
Phone No
Fill in fee simple Title Holder on next page ( if different
t-Mail
from the Owner listed above)
State or County License
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.
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SUPLEME}TAL CONSTRUG?JONLCEV�LAW iNFORMATtaN
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DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name• FRANK uEBLER
Name:
Address:2m ft AvE SE
Address:
City: VEROBEACH State: FL
City:
State:
Zip:3M Phone772-32+-4m
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
Not Applicable
�e:
'lame:
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
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
;+-h IP_ndt-r nr an tttnrnnv hefnre commencing vuark or recordipa your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLO, ID
STATE OF FLORIDA
COUNTY OF �-
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Pres nce or Online Notarization
Physical Presence or Online Notarization
this&relay of NnLmher 2020 by
this day of 2020 by
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
ced
Produced
J(Ignature of o ary P li to q��jf oaf Flu
(Signature of Notary Public- State of FloridaJudYh
A Newel
ission No. M&M
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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