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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '���1 r, Permit Num
I =I
Building Permit Appli
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
PERMITTYPE:
P`ROPQ5ED IMPROVEMENT LOCATION
!Address: 328 Tropical Isles Cir CIR H-08
Property Tax ID #: 3410-508-0188-000-8
Site Plan Name: TROPICAL ISLES
Chapin
Project Name: Cha P
AUG 06 '2019
County, Permitting
Residential X
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 108 Sq. Ft. of First Floor:
Cost of Construction: $ 3392.00 Utilities: _ Sewer _ Septic
Name Timothy D Chapin
Address: 328 Tropical Isles Cir CIR H-08
City: Fort Pierce, FL State: _
Zip Code: 34982 Fax:
Phone No.772-577-9881
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Lot No. UNIT H-08
Block No.
Windows/Doors
Roof Pitch
Building Height:
Name: Karl Kandel
Company: White Aluminum
Address: 2880 SW 42nd Ave
City: Palm City State: FL
Zip Code: 34990 Fax: 772-877-2735
Phone No 772-212-1400
E-Mail astaples@whitealuminum.com
State or County License CBC 025116
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
, .M
DESIGNER/ENGINEER: _ Not Applicable
Name: Seaside Engineers/EdwardRoske
Address: 4265loth Court
City: Vero BEach State: FL
Zip: 32967 Phone 772-202-8008
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
. XA 1 X*-0-4 a
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORID / `
STATE OF FLORI
,
COUNTY OF ��V �y�✓L.
COUNTY OF
The fpo-rgping instr ent was ac < wledg d before me
this day 20 1 by
The for oing instr ent was ac n wledge efore me
this day of 20 by
Ir/GW l rcchw
LeA "&A�W
Name of person making statement.
Name of person making statement.
Personally Known 1t. OR,Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Sig at re o otary Public- St e f F
i ature of No ry Public- State of FI rid )
/' �n Notary PuWIC State at F
Commission No. T351'�L g '(SR ela Staples
N sty pubiiC State of FN
Co ission No. 6Z3S1 �2.Se aHcela Staples E
My Commiaaton GG 23l51
My �ommissio^ GG 23.
�' Expires 07/0412022
— Expires 0710412022
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Rev. 2/7/19