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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/6/21 Permit Number:
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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:New Gazebo
F OPC}SED MPRO,VE iIENT HOC T eN `r N
. �x . m ,,.�.. „ �. .,
Address: 750 Emerald Ave, Fort Pierce, FL 34945
Property Tax ID#: 2309-801-0029-000-2 Lot No.
Site Plan Name: Block No.
Project Name: McLam Gazabo
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Constrution of a new 10'x20' Gazabo
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6idln L Or Dl! e 1
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New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMAT(C3N {£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: 200 Sq. Ft. of First Floor: 200
Cost of Construction:$ 2,300 Utilities: _Sewer _Septic Building Height: 10
yOtNNER LESSEE CONTRACTOR
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Name Brian McLam Name:Owner Builder
Address:750 Emerald Ave. Company:
City: Fort Pierce State:_ Address:
Zip Code: 34945 Fax: City: State:
Phone No.772-216-1728 Zip Code: Fax:
E-Mail:brian@drawdycc.com Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
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If value of construction is 250b 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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SSUP ,LEMENTAL CONSTRUCTION LIEN LAW[NFORMATIOI
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— pp MORTGAGE COMPANY: Not Applicable
DESIGNER/ENGINEER: Not A Applicable x le
N a m e:FL Design Building Inspect Name
Address:22546th Av.SE Address:
City: Vero Beach State: FL City: State:
Zip: 32962 Phone772-321-4500 Zip: Phone:
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FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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.
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'gnature of Owner/Lessee/C ractor as Agent for Owner Signature of Contractor/License Holder I
STATE OF FLO ID STATE OF FLORIDA
COUNTY OF �('�� COUNTY OF
S orn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
h sical Presence or Online Notarization Physical Presence or Online Notarization
this ay of 204 by this day of 12020 by
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Name of person making statement. Name of person making statement.
Personally Known OR Prod uced.ldentification Personally Known OR Produced Identification
Type of Identification Type of Identification
Prod cecl A ;o�►�`Y"�e�. JENNIFE7Notary
Produced
ublic da
o`= Commission
MY Comm.Ex
(Si a u e o otary ic- P?0iCH4t) ssn. (Signature of Notary Public-State of Florida)
Commission No. (Seal) Commission No. (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE ,
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED j
ev. 5/6/20