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Barr SLC Building Permit App
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: O I� © Building Permit Application Planning and Development Services 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: Susan Barr PROPOSED IMPROVEMENT LOCATION: Address: 1814 NW Buttonbush Cir, Palm City, FL 34990 Property Tax ID #: 4426-802-0008-000-8 Lot No.37S Site Plan Name: Block No. 40E Project Name: Barr DETAILED DESCRIPTION OF WORK: Replacement of Window and Doors with Impact FL NOA 20-0406.04 FL NOA 20-0429.09 New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: 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 Roof — — Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 20,900.00 Utilities: —Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameSusan Barr Name: Jeffrey Walsh Address:1814 NW Buttonbush Cir Company: Liberty Impact Windows and Doors City: Palm City FL State: _ Address:257 SE Monterey Road East Zip Code: 34990 Fax: Stuart City: State: FL Phone No.203-913-7044 Zip Code: 34994 E-Mail: Fax: Phone No772-444-7112 Fill in fee simple Title Holder on next page ( if different E-Mail libertypermitting@gmail.com from the Owner listed above) State or County License CGC 1528257 f value of construction is 2500 or more, a RECORDED Notice of Commencement is required. f value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: Address: City: Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: State: FL MORTGAGE COMPANY: Name: Address: City: Zip: Phone: _ Not Applicable State: — Not Applicable I BONDING COMPANY: _Not Applicable Name: Address: City:_ Zip: Phone: %J VV i wiv i nmi- i un mrriuvi i :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 .posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lendecm attorney hpfnrp rrnmmanrino %.rnrL .I_.!'SPi - - ----- - . �Gl.ulUIIt VUI IN10CVtll.Ummencement. r f Awo � 1 essee/Contractor as Agent for Owner Signature f Co rJLice�se Holder STATE OF FLORIDA COUNTY OF j%?Gtr hCir) STATE OF FLORIDA COUNTY OF_ MA IIoI SWcJrn to (or affirmed) and subscribed before me of hysical Pres nce or Online Notarization S n to (or affirmed) and subscribed before me of hysical Pr ce or Online Notarization this day of 202 by thi day of 202L1 b Y /� Name of person making 4tatement. Name of person making statement. Personally Known OR Produced Identification Personally Known V OR Produced Identification Type of Identification Type of Identification Produce Produ (Signat otary Public- State�� Q .•`�Sy w9.. CHRISTINA FORTIN / �� (/ Notary Public -State or Commission No. G 6 / i� l) ture of NotaryPublic- State o w..' - lorida / Q : tom; °', CHRISTINA FORTU � � �yF 'aOotary Commission # GG 937 ?of°�` My i61Z0 ission N04 / Public - State o' y u -' �� ,l Comm, Expires Dec 5 2023 :,,;,_ ,' Commission k GG 937 t Bonded through National Nota Assr.. = �' My Comm. Expires Dec 5 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE DATE REVIEW REVIEW REVIEW REVIEW REVIEW, RECEIVED DATE COMPLETED ev.