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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED )/� /Date: 01/18/2022
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Permit Number: L/90/(/,
RECEIVED
FEB 01 2022
Building Permit Application st'Pe
Planning and Development Services miaIngnry
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: BILLY BONES
Address:10602 U5-1 PORT SAINT LUCIE, FL 34952
Property Tax lD #: 3414-501-50001-050-5 Lot No.
Site Plan Name: Block No.
Project Name: BILLY 13ONE5 BAIT & TACKLE
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ELECTRIC ALUMINUM 5I6N BOX INSTALLED ON WALL
New Electrical Meter Second Electrical Meter (Affidavit required)
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I El a 1NINE
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Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
XElectric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1800 Utilities: —Sewer _ Septic Building Height:
Name: ALAN F. MARGU5
Name V1'.n
Address: V29 >
Company: SIGN IT! INC.
City: 0 State: P -
Address: 639 NW 13AKER RD.
City: STUART State: FL
Zip Code: 3 9�Fax:
Phone No. o`er �' ���- �® E-
Zip Code: 34994 Fax:
Mail:
Phone No 772-692-2866
E-Mail MA05IGNTIST@SIGNITINC.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License 4859
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.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name: JAME5 D. WELL5, JR.Y.E.
Name:
Address:1453 ARBITUS CIRCLE
Address:
City: OVIEDO, FL 32765 State: FL
City:
State:
Zip: 32765 Phone 407-496-5489
Zip:
Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
_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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 lePA�r or an attorney before commencing work or recording your Notice of Commencement.
Sig ure of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF MIX i-L'A
Sworn to (or affirmec)) and subscribed before me of l� Physical Presence or Online Notarization
� this day of /L , 20_ZZ_by 10'V1 (M GLVC US
Name of person making statement.,
Personally Known >( OR Produced Identification
Type of Identification Produced
(Signature of Notarf Public= StaI6 of Florida)
Commission No. (Seal) ELAINEZUNIGA
.;got,
Commission # HH 133796
Expires June 28, 2025
'' $R n .•' Bonded Inn Troy F* Ineurm 600385.7019
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Rev 10/12/21