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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED QQ
Date: Permit Number: I oU
RECEIVED
AUG 161019
Building Permit Application Permitting Department
Planning and Development Services St. Lucie COuntY
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXX
PERMIT TYPE: Alteration / Renovation
PROPOSED IMPROVEMENT LOCATION:
Address: 7651 Pelican Pointe Drive, Jensen Beach, FL 34957 S, NNEG
Property Tax ID #: 3522-700-0005-000-6 BY Lot No. 1
Site Plan Name: ROB-765-01 St Lucie County Block No.
Project Name: Robinson Residence
I DETAILED DESCRIPTION OF WORK: I
INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ l\ Pon. Dc-)
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Stuart Holdings LLC
Name: Ryan N. Watley
Address:1 Emerald Lake Drive
Company: Watlee Construction Inc.
City: Palm coast State: _
Zip Code: 32137 Fax:
Phone No. 386-693-4684
Address: 7651 Pelican Pointe Drive
City: Jensen Beach State: FL
Zip Code: 34957 Fax: 772-223-0684
Phone No 772-223-0604
E-Mail: jrobinohiou@hotmail.com
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
E-Mail Ryan@wcifl.com
State or County License CBC1252388
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xx Not Applicable MORTGAGE COMPANY: )M Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: T4- Not Applicable BONDING COMPANY: Not Applicable
Name: I Name:
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 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."
I — W / n . �A
I(. _ w 1 k) ( nP&& A _
Sign ture of Owner/ Lessee/Contract as Agent for Owner
Signa rt^ extractor/License Hold r
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Mahn
COUNTY OF Martls
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this, 16th day of August . 20_ by
this 16th day of August 20_ by
Ryan N. Watley, as agent
Ryan N Waree
Name of person making statement.
Name of person making statement.
Personally Known xxx OR Produced Identification
Personally Known xxx OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
BOBBY J PATTERSOtr
" • BBY J PATTERSON
(Signatureo6fQgotary F upli tAi Idfli$MWIfSION p FF9 1
($IgnatUre Of iru--fat®yO�ABNW10N p FF9Z1104
!y�; • EXPIRES September 23, 2019
EXPIRES September 23.2019
,,
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Commission No. — rw'a
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