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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit NumF Planning and Development Services. - Building and Code Regulation Division . 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: Master Building Permit Building Permit Ap N O - ZECEIVED ti.on OCT 0-1 2021 :rmitting Department St. Lucie County, FL Commercial Residential X Address: N/Ao";5 Oi J property Tax ID ##: N/A �� 03 " 0 % � /7 Lot No.N/A Site Plan Name: N/A Block No. N/A Project Name: Rayihia 4 Construct a new single family home with 4 bedrooms, 2 bathrooms, and 2 car garage. Gael. nA-111 f7 Additional work to be performed under this permit —check all that apply: X Mechanical _ Gas Tank _ Gas Piping _ Shutters X Windows/Doors X Electric X Plumbing —Sprinklers _ Generator X Roof 4/12 Pitch Total Sq. Ft of Construction: 2,077 Sq. Ft. of First Floor: living SF 1,620 Cost of Construction: $ 78,926..00 Utilities: X Sewer _ Septic Building Height: . NameSynergy Homes, LLC Name:Synergy Homes, LLC company:Synergy Homes, LLC Address:581 NW Mercantile PI, Suite 106 Address:581 NW Mercantile PI, Suite 106 city: Port St Lucie State: FL Zip Code: 34986 Fax: Phone No.561-309-8424 E-Mail:jeremy@synergyhomesfl.com Fill in fee simple Title Holder on next page (if different from the Owner listed above). City: Port St Lucie State: FL . Zip Code: 34986 Fax: Phone N0954-557-9735 E-Mailolivia@synergyhomesfl.com State or County LicenseCBC1254289 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.. r ; _... .. ---., "- .. ,:..�.:• 1'Y•"'*' •� i1(111ir� !�Ilitf (aOFiZiilt4'S :... c�vlSt.r �7yVJG 4VlrfRMf'Al �:"y !'��:7H21f.OYiC Natte.. _. 7 s`L4 ticrtaru zn address _.:.. Address City; t'R :. Mate :. Clty; Sfaie Phone.phone. FED°S1MPI E Tl�'M. HpLDEa Nat Appabtec Applicabke Name: Mi 6,., Adddres Address clfy. - erfv Zrp:. Pharie _. gip: Pftone, 01Af'NE4/ CONTRACTOR AFP.IDVIT Appili~afion is hereby mdnstaeoalft�gn a indtcae( 1 cerEifythat:na work'ar installation iiascommerrced,prioC to the_issuance ofa pertnrt St Lucie County makes. no representation thai is granfing a,pe which ism coif, rct wrtF any applicable Florae Owners Assoeral structure Please cvnsult:wrth your Hoare Owners Association In consideration ofthe .granting of this requested perrni l da in agcardancewitti theappraved plans, theflorida BuildingGx The follows ng.building permit applications are; exempt Tram u accessory AVuctutes, swimrXi ng pools;: fences, w atts, signs, scr �t t;;will, m all respectst perform the wgrk: e1Countv,- endmet lrt5, oneurren review .roahi cyaddiirons; : accessory uses to ariather non resrrleritral use. improvements to your property A 1+totice of C0MMencsrnent must be recorded to the pub is records of St; Lucie County and posfed 0-The jobsite before fhe;first rnspectrtt Ifyau rnfencC to obtain fiQancrng consul] with tender:iar art, attorne 'before.tarrirnencln wor ar:cecor,`d" . our AV Ice ofCointnencemen# Sig re of ownot/ Lessee'/,Coritr`actor as Agent for. owner Signature of Gontrector/License Holder 4t-� STATE OF FLORIDA $TATf Of1QR1Lu OF bidQ cou., . S m to (oc:affirm.ed) and subscribed beforeme of 55+v rn to (or afflrmet J and sul scnbed 4efore ine of Physical Presence or Online N tarizatign ;Physrcai,Rresence or Online (Yotarizatiori this day of 202;tiy this ? dayr:of 202t# by Nan* of person rria&iTig statement. NartiCe o person rnir[Fig -state nt: Personally Known ORProduced Identification . PersonallyKiQwn� OR Produced ldentiiicatiori_ ._. Type of Identification' Type:0Identificapon Produced•. Praduceti _ Y ¢signature` of tart' Public- State of F ature ofi Notary 6 Alc- State of F1 a MYCO1S40N#; t}33 iss[on.No.LiYIA'FITZGEI Commission No _` OLZVIA PTTE©Ei A1 3U 2. tea �. '1aX 'kit . �+ar� F�'IIt14 Iday I� 025 .�'' May�trs REVIEWS FRONT ZONING SUPERVISOR. PLAINS. VEGETATION SEA TURTLE. MAN6R01/E. COUNTER. REVIEW [tEVIEW REVIEW REVII W REVIEW REV1EVlL DATE RECEIVED DATE CQM?LETS© erf: