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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11 C
Date: Permit Number:
REC IV D
I :A
Building Permit Application APR 0 6 2021
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 1725 CODY LN. FORT PIERCE FL. 34945
Property Tax'I D#: 2305-500-0019-000-3 Lot No.7
Site Plan Name: COUNTRY LIVING ESTATES Block No. B.
Project Name:
DETAILED.b.ESCRIPTION'OF WORK:
TEAR OFF ROOF DOWN TO WOOD,NAIL OFF DRY IN INSTALL 5V METAL
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 . 5/12 Pitch
Total Sq. Ft of Construction: 4800 Sq. Ft. of First Floor: 4800
Cost of Construction: $ 19000.00 Utilities: _Sewer _Septic Building Height: 10'
OWNER/LESSEE: CONTRACTOR
Name DENICE THOMA,S Name:JOHN G CANNON
Address: 1725 CODY LN. Company:JOHN G.CANNON
City: FORT PIERCE FL 'State:_ Address:7901 CITRUS PARK BLVD
Zip Code: 34945 Fax: City: FORT PIERCE State:FL
Phone No. Zip Code: 3495.1. Fax: 772-468-0272
E.-Mail: Phone No 772-468-0202 CEL 772-201-1771
Fill in fee simple Title Holder on next page(if different E-Mail JGCANNONROOF@ ICLOUD.COM
from the Owner listed above) State or County License CCC1330664
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.
SUPPLEMENTAL CONSTR�UCTIO,N LIEN'LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
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
with lender or an attorney before commencing work or recording our Notice of Commencement.
I
Sigqatu,%of Owner essee/Contractor as Agent for Owner Sig ature o Con ractor/Li ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF V , • X,. , COUNTY OF
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this�day of 202i� by this day of 2020 by
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Type of Identification Type of Identification
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REVIEW J" 2 :JERVISOR PLANS MANGROVE
COUNTER REVIEW REVIEW . REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
R—ev-75/6/20