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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
APRIL 25,2018
Date: &GANNEU PermitNumber:
I DIV
B ilding Permit Applicat
Planning and Deveiopment Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462 1578
ST. Lucie County, Permitting
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PERMIT APPLICATION FOR: Tolselect from dropbox, click arrow at the end of line
Nf L `�,A ION
PROPOSED IMPROVEME 0
Address: 2305 TAMARIND DR. F9RT PIERCE FL. 34949
Legal Description: REV PLACE OF I FORT PIERCE SHORES
1436-603-0020-000/9 9
Property Tax ID #: I Lot No.
Site Plan Name: ROBERT ROSBURY Block No. 30
Project Name: I
Setbacks Front Back: Right Side: Left Side:
... ... .
�_DIETAILED DESCRIPTIOU"Of- RK;
5/12 PICHJEAR OFF OLD SHiNGLE,NAIL DECK 8 PENNYTITANIUM PSU-30,THAN METAL 26 5V-
METAL I
tCONSTRU.CTION...-INFORMAT,ION�:,"�,
Additional work to be nertormed under this permit —check all apply:
[1HVAC Gas Tank OGas Pipirg fn Shutters E]Windows/Doors
[I Electric Plumbing []Sprinklers E]Generator R1 Roof Roof pitch
Total Sq. Ft of Construction: 40sq S Ft of First Floor: 32000
Cost of Construction: $ 16 1 000 Utilities:Cn Sewer 0 Septic Building Height:
WNWLESSEE,:� `�`."I-CONTRA
-CT OR: fl,
AIJAMAHK PH(.)PER I lEb LLU
Name I
Name: JUHN U (;A N
UOTTN G.CANNUN
Company:
12385 RUSELAND RD
Address:
City: SEBASTIAN state: FL
Address: 7901 C1 I HUB-PATIK BLVD.
Zip Code: 32958 Fax:
Ci , ty: FOHT PIEHL;I: State: FIL.
34951 772-468-027
Phone No.'
Zip Code: Fax:
772-468-0=
Phone No.
E-Mail:
E-Mail: J9 nnonrootCa,)icioud.com
29914
Fill in fee simple Title Holder on n I ext page if different
from the Owner listed above) I i
State or County License:
If value of construction is $2500 or rnore, a RECORDED Notice ot CommenceMent is requirea.
EE
MATT6N"";,'
2,
DESIGNER/ENGINEER:
N6t Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:'
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Nolt Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:—
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: ApOcation 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 th6t 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 Om4ners Association and review your deed for any restrictions which may apply.
in consideration of the granting of this requq1sted permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the �Iorida Building Codes and St. Lucie County Amendments.
The following building permit applications a 1� e exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fence , 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 N6tice 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
commznc-ine work or recording vourlNotice of Commencement.
SignatVe of Owner/ Lessee/Contractor
STATE OF FLORIDA
COUNTY OF S-N-. 'L
T ing instrument was acknowli
t h�i day of 0% T V\
Name of person making statem(
Personally Known OR Produced
Type of Identificat
Produced ��%- i) L
(Signature of Nota
Commission No.
REVIEWS FRONT I ZONIN
I COUNTER REVIE\
DATE
RECEIVED
DATE
C COM PL
OMPLETED
Rev. 8/2/17
kgent for Owner Sign u-reF`o_C_o - ntractor/License Holder
STATE OF FLORTA
COUNTY OF
before me The foEgoing instrument was acknowledged before me
by thisQ-r:>dayof C'%\ 20_t by
-k YN V�, C
Name of person making statement
mtification Personally Known OR Produced Identification
Type of Ident cation
Produced
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Icembet 16,2020 (Signature of Notar Mi.bli StatgaWorl' aiEe��
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ta publ*ia undpm,"Wri D.EMNAU!R:GIVEI`I3
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CommissionNo.
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r-_XARES: December 16, 2020 ter
tjotary plbijr, UndenYriter-
el?4�F Banded Thru
SUPERVISOR I PLANS VEGETATION I SEATURTLE I MANGROVE
REVIEW I REVIEW I REVIEW REVIEW REVIEW