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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED --� Date: u Permit Num oer: - RELCTIV ' OCT Q 1 2021 Building Permit Application Planning and Development Services Permitting Department Building and Code Regulatioh'Division St. Lucie County, FL 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT TYPE: Master Building Permit PROP SO E11111PR01/EMENT LaCASTI N= f �.� 1 7RQ aA Address: N/A hj(�j ��. Y-n J Property Tax ID #: N/A z o—<-; 0 J. Lot No.N/A Site Plan Name: N/A V Block No. N/A Project Name: Ravinia 4 Construct a new single family home with 4 bedrooms, 2 bathrooms, and 2 car garage. 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: DOWNER%LESSEEF = CONTRACT©R NameSynergy Homes, LLC n. Name:Synergy Homes, LLC Address:581 NW Mercantile PI, Suite 106 Company:Synergy Homes, LLC City: Port St Lucie State: FIL Zip Code: 34986 Fax: Phone No.561-309-8424 Address:581 NW Mercantile PI, Suite 106 City: Port St Lucie State: FL Zip Code: 34986 Fax: Phone N0954-557-9735 E-Mail:jeremy@synergyhomesfl.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mailolivia@synergyhomesfl.com State or County LicenseCBC1254289 it value or construction is >Zsuu 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. SUPPLEMt, AL CC?NTRUCTlpNI tEN t.AW t1F©RMAr u vv DESIGNER/ENGINEER: Not;Applicable MORTGAGE COMPANY: NotApplicable Name: Lillian taonzales Name: Address: R24 RicnarUz L.n Address: City: va 0 ngs State: City: State: Zip. o4u Phone 00 Zip; Phone: FEE SIMPLE TITLEHOLDER: Not Applicable BONDING, COMPANY;. x . Not Applicable Name: Name: Address: Address:. City. City - Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR:AFFIDVIT. Application is hereby ma 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 Associatlon :and review your deed for any restrictions which my.appiy. In consideration of the granting of this requested permit,. I do hereby agree that l willin all respects+ perform the work in accordance. with the approved plans, the Florida Building Codes and'St. Lucie CountyAmendments. the following building: permit applications are exempt from undergoing a full concurrency reviewi room additions,: accessorysfructures, 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 Commen' eriei nt must be recorded in the public records of St. Lucie County and posted on the }obsite before the first inspection., If you intend to obtainfinancing, consult, with lender or: an attorney before co : mencinR work or recordih your:Notice of commencement. Sig re'of Owner/ Lessee%Contractor.as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA. COUNTY OF �3- }`. U`lQ STATE OF FLO "t+. Luc f e OF f COUNTY S : orn to (or affirmed) and subscribed before me of Swprn to (.or;affirmed) and subscribed before me of Notarization. Physical Presence or Online Notarization this aLday of ALJgt35 2024.4y 7' PhysicaY Presence or Online this day of Fg 202i by fvcl ri Dgyl i U avl DQ:m S Na ' ofperson -making statement. Name o person makkiing statement. Personally Known OR Produced Identification Personally Known. X OR Produced Identification Type of Identification Type of Identification Produced Produced j5ignature of tart' Public-StateW F ' ' ature of Notary ublic- State of FI •i '' 2 �°'"�a OL11V A FITZGE Commission No. J0 y�pj�glON# LD 1 f 2 pL1VIA FITZG 31F�i , i5sion.No. Tt ( Z J Iy�YY tQN#HEi `a �y) IIRE316 : May . 025 w¢ EJCPIRB3:Y 16, REVIEWS. FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER. REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE - `.COMPLETED nev. °5/ o/ Eu