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BUILDING PERMIT APPLICATION
J ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �07 r Date: 1:28=2017� irPermit Number: / T • ! � P ' Planning and Development Services Building Permit Application DEC 4 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: To Select from dropbox, click arrow at the end of line' PROPO$ED,I'MPROVEMENT LOCATION Address: 6513 Deleon Ave Legal Description: LAKEWOOD PARK -UNIT 9- BLK 105 LOT 13 (MAP 13/01N) (OR 1034-1964) Property Tax ID #: 1301-611-0091-000-7 Lot No. Site Plan Name: Neland Investment Group Inc Block No. Project Name: Setbacks FrontBack: Right Side: Left Side: 17 DETAILED DESCRIPTION=.OF WORK - existing slalT�iin Rebuild home overH ri y _per engineer I structlons. Home was a fire property so we will reuse septic, well and drive wa . ke?v w-r 1` n ;9 renr_4Y (oL, n D Y�• CONSTRUCTIONfINFORMATION DHVAC II Gas Tank 0 Electric 0 Plumbing Total Sq. Ft of Construction: 1847 Cost of Construction: $ 125000.00 under this permit — check all mat apply: ❑Gas Piping _ Shutters Sprinklers E Generator S Ft. of First Floor: _ Utilities:0Sewer W1Septic QWindows/Doors Roof Building Height: 15' ,,OWN.E�R/LESSEE CONTRACTOR: Name Newland Investment Group Inc (Richard Newland) Name: Richard A. Newland Company: Richie the Roofer Address: 6704 Santa Clara Blvd City: Fort Pierce, State: FL . Address: 6704 Santa Clara Blvd Zip Code: 34951 Fax: 866-610-8652 City: Fort Pierce State: FL Phone No. 772-473-6197 Zip Code: 34951 Fax: 866-610-8652 E-Mail: Phone No. 772-464-4329 Fill in fee simple Title Holder on next page ( if different E-Mail: richieroofer@yahoo.com from the Owner listed above) State or County License: CGC1512738 It value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTI DESIGNER/ENGINEER: _ Not App Name: Mills, Short&Associates Address: Boo Bth st City: Vero Beach FI. State: FL Zip: 32962 Phone: 772-226-7282 FEE SIMPLE TITLE HOLDER: Not Applicable Name: RichardANewland Address: 6704 Santa Clara Blvd City: Ft Pierce Zip: 34951 Phone: 772-473-6197 MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. Not Applicable 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 before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commenciniz worK or recoraing vour Notice oT LOmmencement. _ Signature of Owner/ Lessee/Agent- STATE OF FLORID :,o;• COUNTY OF ;^�:, The forgoing instr ment was acknowledged before this day of 20 by -a 5 o �� . �, _w �2© v 3�02 e �; I (Name of person acknowledging) ptly oQ ature of Ncyfa fy Publiy State of Florida ) Personally KnowYt l OR Produced Identification Type of Identification Produced Commission No. Revised 07/15/2014 (Seal) STATE OF FLORI COUNTY OF .:;. The forgoing instr ent was acknowledged before tie �• E f this �� day ofoc 20%� byisli 7 J �s l j Ap �. ch ay lW � (Name of person acknowledging) cn (Signature of Notarye/6blic- State of Florida ) Cvo: Personally Known/ OR Produced Identification Type of Identification Produced Commission No. (Seal) n REVIEWS FRONT ZONING SUPERVISOR PLAN VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW RE REVIEW REVIEW REVIEW DATE COMPLETE INITIALS