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' ALL APPLICABLE INFO MUST BE COMPL D FOR APPLICATION TO BE ACCEPTED Uq
Date. 03/10/2017 Permit Number:
_..__... RECEI�'rD �1AP � ?,017
Building 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 Commercial Residential x
PERMIT APPLICATION FOR: Shed site built
PROP
QSFD IMPROVEMENTLOCATIO.N:
Address: 12047 S Indian River Drive St.Lucie County, FI.34957
Legal Description: Replat of lots 3 and 4,Subdivision of fee Property Plat Book 4,Page 44,and Lot 24,Top of Walton, Plate Book7 Page 1,
Section 4 and 5,Township 37 South Range 41 St.Lucie County FI.
Property Tax ID#: 450460500030007 Lot No.3,4,24
Site Plan Name: Mr and Mrs Mike Flavin Block No.
Project Name: Mr and Mrs Mike Flavin Gazebo
Setbacks Front 148'-T Back: 38'-6" Right Side: 10'-01, Left Side: 79'-0"
VLEDDESCRIPTION��OF WORK. :
CONSTRUCTION.-INFORMATION
Additional work to be nertormed under this permit—c ec a apply:
E1HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
F]Electric ❑ Plumbing Sprinklers F-]Generator Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 433 S Ft.of First Floor:
Cost of Construction:$ 33,453.0o Utilities.. Septic Building Height: io'-o°
OWNER/LESSEE:. CONTRACTOR:
Name Mike Flavin Name: Gary Engel
Address:12047 S Indian River Drive Company: Engel Construction Inc.
City: Jensen Beach/St.Lucie Co. State:FI_ Address: 1523 SW 21 st Ave
Zip Code: 34957 Fax: City: Ft.Luaderdale State:Fl.
Phone No.772 220-7777 Zip Code: 33312 Fax: 954 583-1144
E-Mail: Phone No. 954 583-1 1 09
Fill in fee simple Title Holder on next page(if different E-Mail: gary@engelconstructioninc.com
from the Owner listed above) State or County License: CGC-025801
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: McCarthy and Associates Name:
Address:2555 Nursery Road Suite 101 Address:
City: Clearwater State: Fl. City: State:
Zip: 33764 Phone: 727 W-6n2 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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 our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Co r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5T C cA< COUNTY OF 'Blag tro
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_J(. day of EIA&Ik 20 LZby this Ito day of 9646# 2017 by
AU10 ("ffy'(" .e 'Fx)6 1:6
(Name of erson acknow d ing) (Name of person acknowledgin )
(Signature of Notary Pubic State of Florida) (Sig atu a of Notary Public-St a of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Pro eU Type of Identification Produced
;2o:p':e Vic; LAURIE A.CHAPMAN
Commission No. =*E a ':k= com tom#FF 188283 Commission No. oa: °fat, LAURIE A.C �jQ
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE y�I( r l
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INITIALS
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