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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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 Residential X
PERMIT APPLICATION FOR: Other
PR'OROSED IIVIPROVEMfNT LOCAT IQN
Address: 2223 NW SEAGRASS DR., PALM CITY, FL 34990
Legal Description: HARBOUR RIDGE -PLAT 10- FAIRWAY VILLAGE UNIT 10 (MAP 44/26S) (OR1201-1946)
Property Tax ID #: 4426-805-0010-000-4
Site Plan Name:
Project Name: Lovett Residence
Setbacks Front Back:
Right Side: Left Side:
DETAILED DESCRIPTION`OF WORK
1 Truss repair that was damaged by termites. Replace 96 sq ft of drywall.
Lot No.
Block No.
CO.NSTRlJCTIO�N INFORMATION
__ r x ,
Additional work to be nertormea under t is permit — checK all apply:
11HVAC L_J Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
11 Electric 0 Plumbing E]Sprinklers E]Generator E]Roof Roof pitch
Total$q. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2,000.00 Utilities: jL1 Sewer Septic Building Height:
01NNER/LESSEE :{
CONTRACTOR t.
Name Joel & Anita Lovett
Name: David A San George, Jr.
Address: 2223 NW Seagrass Drive
Company: Home Safe Restoration, LLC
City: Palm City State: FL
Address: 12825 SE Suzanne Drive
Zip Code: 34990 Fax:
City: Hobe Sound State: FL
Phone No.
Zip Code: 33455 Fax: 772-546-8420
E-Mail:
Phone No. 772-546-5144
Fill in fee simple Title Holder on next page ( if different
E-Mail: brandi@homesaferestoration.com
from the Owner listed above)
State or County License: CRC1331724
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIQN LIEN LAW,INFORMATION
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Summit Design & Forensics, Inc.
Name:
Address: 585 NW Mercantile Place
Address:
City: State:
City: PortSaint Lucie State: FL
Zip: 34986 Phone: 772-285-0572
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name: Joel &Anita Lovett
Name:
Address:
Address: 2223 NW Seagrass Drive
City: Palm City
City:
Zip: Phone:
Zip: 34990 Phone: — —
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
tefoe the firs ion. If you intend to obtain financing, consult with lender or an attorney before
o ci wo rdina vour Notice of Com enc nt. a 1 of 12
ature
as Agent for Owner
STATE OF FLORIDA STATE OF Fl.
COUNTY OF in�Y�-I COUNTY OF
The forgoing instrunrign as acknowledged before me
this day of w20 I1by
Rn
(Name of person acknowledging)
(Signature o Notary Public- State of Florida )
Personally Known _ V/ OR Produced Identification
Type of Identification Prndured
Commission No.
Revised 07/15/2014
BRANDYN MCNAMAW
.AAY COMAuibN # GG032191
EXPIRES November 21, 2020
The forgoing instrument -was acknowledged before me
this 15 day of 20 n by
1AAd �on Genme.-Ir'.
(Name of person acknowledging'
(Signature of otary Pu lic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. -
EXPIRES November 27, 2020.-
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