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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/19/2022 Permit Number:�a�3
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85LUC
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RECEIVED
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Building Permit Application MAR 2 1 2022
Planning and Development Services
Lucie County
Building and Code Regulation Division Commercial Residentia .Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 I'
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION: ;c
Address: 6105 Bamboo Dr Fort Pierce,FL 34982
Property Tax ID #: 3402-610-0493-000/8
Site Plan Name: SIDING
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No. 15
Block No. 86
REPLACING SIDING WITH NICHIHA CEMENT BOARD SIDING ;I
_ New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
Electric
_ Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1360
_ Gas Piping
Sprinklers
(Affidavit required)
_ Shutters I Windows/Doors _ Pond
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _ SI' eptic Buillding Height:
OWNERAESSEE:
CONTRACTOR1;
Name Richard Alfano & Gabriela Alfano
Name:
Address: 6105 Bamboo Dr
Company:
Address:
City: State:
Zip Code: Fax:
Phone No
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772 418 2896 / 305 793 3215 E-
Mail: alfanorichy@gmail.com /gabalfo@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
State or County License
If value of construction is 2500 or more, a RECORDED Notice of Commencement is
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is requ
SUPPLEMENTAL CONSTRUCTIOKLIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip:
_ Not Applicable
City: State:
Zip: Phone
li State:
(Phone:
I� I
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
Address:
_Not Applicable
I'
Address:
City:
Zip: Phone:
City:
Zip: Phone:
I
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 pe Imit holder to build the subject structure
which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may Festrict 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, inljall 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 concurrent y 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 lender or an attorney before commencing work or recordinl? vou'r Notice of Commencement.
Signature of Contractor - or - Owner Buil er s applicable
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STATE OF FLORIDA
COUNTY OF �k
Sworn to (or affirmed) and subscribed before me of
this 2-1 day of M A.t,li/n 20 SUv
Presence or II Online Notarization
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Name of person making statement.
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Personally Known OR Produced Identification
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Type of Identification Produced
(Signature of Notary Public- tate of Florida)
No. (Seal)
3°��:f•�'.AT�I iH i�;.:URFORDdaoloef1F910Notar�'ui tc ;at
HH2Commission
Corrwii`ion ; 8',y C :•rru ,ission Expires
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Kev 10711/11