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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: i ^0 F` -1! Perm t Number: J/0�-03S3 Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 j PERMIT APPLICATION FOR: D� S PROPOSED IMPROVEMENT LOCATION: Address: ! AJ „ S /'G ,.0 Property Tax ID #: Site Plan Name: ©U i Project Name: DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter, CONSTRUCTION INFORMATION: b7- Lot No._ Block No. Additional work to be performed under this permit —check all that apply (Mechanical Gas Tanis Gas Piping _Shutters Windows/Doors Pond Electric ,&Plumbing Sprinklers Generator_ Roof Pitch Total Sq. Ft of Construction: i 0 Sq. Ft. of First Floor: "b 6 H Cost of Construction: $ a 9co066 • 00 Utilities: XSewer _ Septic I WNERAESSEE: CONTRACTOR: Name Name: Addres C o �P6` t Company: I 1 City: G ''1'l state: Addres d Building Height: L.wu JE C �+ i Zip Code: 317 761 Fax, City: U A. State: Phone No. S ^ 3 ( I ` 6 7 1 Zip Code: 33 S_T_ Fax: E-Mail: 0.y G . A41� Vie.__l��i'l Phone No 71—ci Fill in fee simple Title Holder on next page ( if different i E-Mail U� i C' o C.,J C from the Droner listed above} State or County License C7t r� If value of construction 4 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 CONSTRUCTION LIEN LAW INFORMATION: DESIGN R/ f?GIN,EEf;(� , , Not Applicable Name: Address: City: v State: Zip: Phone_o.J_ 3 FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone:. BONDING COMPANY: Name: Address: City: Zip: Phone: ,Not Applicable 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, accessary structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non id WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice ential use 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 befor -first inspection, If you inte d to ob in financing, consult with len er or attorn before co cin work or recc�rcin/our N9tic¢fi Cormencement, nei`Y, see/Contractor as Agent for Owner STATE A NC. COUNTY OFF M 1171 t n� Swo o (or affirmed) and subscribed before me of Ph sical Presence or Online Notarization this ay of 731112021"-hy Name of person making ement. Personally Known OR Produced Identification Type of Iden 'fica , Produced 4 Notary Pijbiic State of.FLaridb } CO!'--nrrk:_sion No, (Seal) i- REVIEWS FRONT I ZONiNG SUPERVISOR -- I C0'3NTER REVIEW REVIEW RECEIVED_ DATE Signatur�of Contractor/License STATE OF FLORIDA // COUNTY OF 17ke- r^1f q Sworn to (or affirmed) and subscribed before me of ✓Physical Presence or Online Notarization this e�/'-c a of �_Jo,z Name of person making statement. Personally Known OR Produced Identification Type of Identification Produ y gnature of lli�f� oNar?ri' BARBARASRIZZOTTO Commission N _,/ : Notary Pubilc • StateAf da Won,GG�0 y'10Fr....' Mp Comm. ExpiresNov 7, 2023 PLANS I VEGETATION SEA TURTLE MANGROVE REVIEW I REVIEW REVIEW REVIEW All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date- P f Permit Number: J to 0 3 S_,Z U Building Permit Application Planning and Development Services Building and code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone; (772) 462-1553 Fax: (772) 462-1578 I PERMIT APPLICATION FOR: /V Ai�. 1 PROPOSED IMPROVEMENT LOCATION:, 4 Address: 0 1 AJ .4r_JrS &&, 1<e.1j, Ala z1W F7 zi 7,?o Property Tax ID -1199— O0000— 6,60 Lot No. Site Plan Name: 0 U C) 7-, Block No. Project Name: bETAILO DESCRIPTION OF WORK:' DNS D <5 C U New Electrical Meter second Electrical meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: Mechanical X Gas Tank Gas Piping Shutters windows/Doors Pond Electric XPlumbing Sprinklers X Generator '' X Roof Pitch Total Sq. Ft of Construction; Z Sq. Ft. of First Floor: Cost of Construction, 606 - (DO Utilities: XSewer —Septic Building Height: OWNER/LESSEE! CONTRACTOR: Name 11d4J Name: _E Addres Company:A_F , WfCA(iL1 CCAP1ttt City: �a 1�11t4k/ V tate: Addres Zud 8 C C� ,rUtr_A4-5 Zip Code: 3-1 7 TS6 Fax. City: Zip Code: 331 Phone No. Fax: 77.9 J E-Mail:_�'- 6,V 1 eCa Phone No-779 - 5-d e - /00a Fill In fee simple Title Holder on next page (if different E-Mail IAJfAJ6A (12 04inc ii C rec 6) from the Owner listed above) State or County License It value of construction is 2SO 6 or more. a RECORDED Nntira of rnmman—_.*;. It value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. EN "LAW, NFQRMATIQN: �--� IVJt Hppiicaoie Name: ` ;j �7o C�! t�t�P 1 City: 6 0 S Zip: _ Phoneme �"�3-a FEE SIMPLE TITLEHOLDER: � Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Name: Address: City: ZIP: Phone: _Not Applicable 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. whichiss n convict with any applicable Home Owners Asssoc atloniru es bylaws or andpcovenants that maq thesubject prohibits structure 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:•Vour 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 befor first inspection. If you intend to obtain financing, consult ith ien er or a attorne before co cing work or recgrr�ing /our Notic aIf Corxfmpnrcmont d� 6 +«acuwy C7 wr►erKssee/contractor as Agent for Owner Signatur of Contractor/License STATE O A N C COUNTY OF I STATE OF FLORIDA fl��� COUNTY OF /ll11111`-ell Swo to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this � lay of _ — J 2QW%y �"4i -A- Name of person making • tement. Personally Known OR Produced Identification Type of Iden "fica , Produced i�•. '1 " ., CNP _ iai �r lure Of NotaFy_Pubfic- State o"--�� nmmimsion No. (Seal) REVIEWS FRONT ZONING E SUPERVISOR DATE � w i COUNTER I REVIEW ? REVIEW Sworn to (or affirmed) and subscribed before me of �- Physical Presence or Online Notarization thisc-7�/ "day of eze 202,W by h�r� f �rll62e �� Name of person making statement. Personally Known `-1 OR Produced Identification Type of Identification Of ,.o1e BARBARA S RIZZOTTO ? ' y~��S Notary Commission N (• _ • • : Y Public State Flp�da fvmmissicn # GG r+iy Comm. Expires Nov 7, 2023 PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW APPLICABLE INFO MUST BE COMP��-: _D FOR APPLICATION TO BE ACCEPTED Date ST. LuCIE F L O R I D A -r- Permit Number: -2 r 6 L - 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 ResidentjXl X PERMIT APPLICATION FOR:JOHN & MARGARET LA ETTA PROPOSED IMPROVEMENT LOCATION: Address: 804 NW WINTERS CREEK RD. PALM CITY FL 34990 Property Tax ID #: 4422-815-0008-000-6 Site Plan Name: HARBOUR RIDGE - PLAT 21 - LOT K Project Name: LAULETTA RESIDENCE DEMO DETAILED DESCRIPTION OF WORK: CONSTRUCTION OF NEW SINGLE FAMILY RESIDENCE y. 2 New Electrical Meter Second Electrica eter J °CONSTRLICTION'INFO.RMATION: / Additional work to be performed under th' permit — check all that apply: Mechanical �/ Gas Tank Gas Piping .Shutters _Windows/Doors (Electric _ Plumbing sprinklers .Generator ✓Roof Total Sq. Ft of Construction: 8100 Cost of Construction: $ $2,430,00. Sq. Ft.of First Floor: 4300 Utilities: ✓.oSewer _Septic RECEIVED 1JJN 14 10 ,Mating o Counmenr St. Luce Lot No. Block No. _ Pond Building Height: Pitch OWNER/L-ESS'EE- CONTRACTOR: NameJOHN & MARGARET VAULETTA Name: EARNEST D. CARRERE Address:804 NW WINTER CREEK RD Company:CARRERE GENERAL CONTRACTORS Address:10305 US HWY ONE City: PALM CITY State: _ Zip Code: 34990 Fax: City: HOBE SOUND State: FL Phone No.561.319.67 Zip Code: 33455 Fax: E-Mail:jflauletta@ya .Com Phone N0772.545.2112 Fill in fee simple Title Holder on next page ( if different E-Mail NICK@CARRERE.COM from the Owner listed above) State or County LicenseCGC043237 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. 1} 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. s 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. Ifyou intend to obtain financing, consult with lender or an attorneybefore comma n work or ecordin r Notice of Commencement. b, A? V ev. .�s►zgriG. S_UPPLEMENTSAL,CONSTRUCTION-LLEN LAW — INFORIVIA�TL®N: _ DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: gnature of Owner/ Lesse C cto as Ag f caner gnatu Contractor/License Holder STATE OF FLORID STATE OF FLORIDA COUNTY OF COUNTY OF Swor or affirmed and subscribed before me of sical Presen eor Online Notarization Sworn or affirmed) and subscribed before me of sical Presen or Online N tarization this day of 20 (� by this day of Un�� 202� by J �.�C�� � Name of person m kin s atement. Name of person making sta ment. Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification cad o d (Signature o�,Notary(�Publi � Florid