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APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED a Q 2,-C
Dater RECEIVED Permit Number:
' r F=B 0 5 2019
o Noma- sT, Lune County, Permitting
Building Permit Application
Planning and Development Services SCANNED
Building and Code Regulation Division BY
2300Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT TYPE: Demo
PROPOSED INPROVEMENT LOCATION: • 8''
Address: 6105 Pine Tree or FortPierce FI 34982
Property Tax ID #: 3402 603 0166 0000 5
Site Plan Name: Indian River Estates
Project Name: Smith Addition
Lot No.42
Block No. 11
DETAILED DESCRIPTION OF WORK:
2nd floor remove overhang, remove existing porch , rails and support beams for the porch
CONSTRUCTION INFORMAT(ON:
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: Sq. Ft. of First Floor:
Cost of Construction: $ 1500 Utilities: —Sewer _Septic
_ Windows/Doors
Roof Pitch
Building Height:
!OWNER/LESSEE
CONTRACTOR:
Name Bill Smith Anita Smith
Name: Michael McFarland
Address:6105 Pinetree Dr
Company: VanWal Contracting
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.772 577 0401
Address-5475 St James or #401
City:. Port St Lucie State: FI
Zip Code: 34983 Fax: 772 873 1181
Phone N0772 260 9348
E-Mail:-wmsmith6lO5@gmafl.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail bobbi.vanwal@gmail.com
State or County License CGC 1509090
If value of construction is 52500 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.
LIEN
DESIGNER/ENGINEER: _ Not Applicable
Name: SouthEast Bantling Engineers
Address: 5911 Pescara D,
City: Pace State: FI
Zip: 32571 Phone7727749086
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
Zip:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing; work or recordist; vur Notice of Commencement.
Signature ofiiCWner/ Lesse—e7Contractor as Agent for Owner
STATE OF FLot' /I
COUNTY OF (A'A I�rIC
The for oing instr ment was acknowledge efore me
this `Iay of JQnu�— zoAby
Name of person makings atement.
Personally Known OR Produced Identification
Type of Identification
Produced
tnignamre or tvocary arYr+
„tar'6�•.,, MONICA BUSH
Commission NoADtaryPub}k 5tdteofFioddt
Commis �rfttG259632
' of F`..' My Comm. Expires Sep 18. 2022
REVIEWS I COUO TER RENING VIEW W SUPERVISOR REVIEW
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF G-. I. >CAa
The forgoing instrument was acknowledged before me
this 6�,day of� .20-Lq by
t�Sa- GU^u-n.e.
Name of person making statement
Personally Known _X—OR Produced Identification
Type of Identification
u$AT, GREENE ,
.R'
(Signature of Nota 7�ta�W b0r22,2022
Rot'yp'WtlndeMft T
Commission No.
PLANS � REVIEW VEGETATION EVI WI S REVIEW LE I MANGROVE