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ALL APPLICABLE INFO MUST'BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�
Date: 4-7-17 Permit Number: 10L '.01101
RECEIVED
Building Permit Application . APR 0 7 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Building
PROPOSED]MPROVEMENT LOCATION:
Address: 17900 WAGONWHEEL LN., rT"r- ^G
Legal Description: LOT 4,CARLTON COUNTRY ESTATES
Property Tax ID#: 3211-701-0006-000/1 Lot No.4
Site Plan Name: Block No.
Project Name: RANCOURT RESIDENCE
Setbacks Front 175' Back: 2 '� Right Side: 179'.bb Left Side: 179'. b$
DETAILED DESCRIPTION OF WORK:
NEW SINGLE FAMILY RESIDENCE - 5 BEDROOM, 3 BATH, 2 CAR GARAGE, C.B.S.
CONSTRUCTION, IMPACT-RATED WINDOWS & DOORS, TILE ROOF.
CONSTRUCTION INFORMATION:
Additional work to be Dertormed under t ispermit—check all appy:
ZHVAC L_I Gas Tank []Gas Piping _Shutters Q Windows/Doors
ZElectric 0 Plumbing ❑Sprinkl rs ❑Generator Roof 6�12 Roof pitch
Total Sq. Ft of Construction: 3485 TOTAL S.F. S . Ft.of First Floor: 2600 A/C S.F.
Cost of Construction:$ 238,722.50 Utilities: Sewer Septic Building Height: 24'-0"
OWN ER/LESSEE: `'CONTRACTOR:
Name RONALD&BLANCA RANCOURT Name: GREG OLDAKOWSKI,PRESIDENT
Address:18704 TRANQUILITY BASE LN Company: GRANDE CONSTRUCTION OF FL., INC.
City: FT PIERCE State:FL Address: P.O. BOX 881765
Zip Code: 34987 Fax: City: PORT ST LUCIE State:FL
Phone No.772-240-9759 Zip Code: 34988 Fax: 772-785-8851
E-Mail:BLONG04042@AOL.COM Phone No. 772-336-7240 CELL. 772-528-8582
Fill in fee simple Title Holder on next page(if different E-Mail: GREG@GRANDEFL.COM
from the Owner listed above) State or County License: CGC1505127
If value of construction is$2500 for more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:. .
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: ARCHITECTONIC,INC (FORMER COOK BMENARD) Name: SEACOAST NATL BANK
Address:806 DELAWARE AVE Address: 50 KINDRED ST.#211
City: FT PIERCE State: FL City: STUART State: FL
Zip: 34950 Phone: 772-460-7751 Zip: 34994 Phone: 800-706-9991
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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.
,us, riot_ s
a re o Owner/Lessee/Contractor as Agent for Owner SirnaiUre of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this f day of 20 nLby this 7TH day of APRIL 120 by
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(Name of p on acknowledging) (Name of perso cknowledging)
(Signs re of Notary Public-Stat f Florida -NgWatOe of Notary Public-State f Florida}
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
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