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BUILDING PERMIT APPLICATION
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED LIe Date: ' 1-%1 \% Permit Number: \ - SCABNN ED - RECEIVED Burgh mg(O i k Applicatiorl AUG 2 3 2018 Planning and Development Services Building and Code Regulation Division Sr. Lucie County, Permitting j 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III Address: Legal Description: Property Tax ID #:� ✓�— O j Site Plan Name: Villa Del Sol Project Name: Villa Del Sol Concrete Restoration I r lr /r /r l . - #3 Setbacks Front Back: Right Side: Left Side: Lot No. Block No. Concrete Restoration for building # 3 Unit Numbers 3-A, 3-B, 3-C, 3-D, 3-E, 3-F, 3-G, 3-H, 3-I, 3-J, 3-K and 3-L. L®(HVAC L_J Gas Tank ❑Electric ❑ Plumbing Total Sq. Ft of Construction: 1000.00 Cost of Construction: $ 35,000.00 Sas Piping ❑ Shutters ❑ Windows/Doors Sprinklers ❑ Generator ❑ Roof = Roof pitch S Ft. of First Floor: _ UtilitiesSewer ❑Septic Building Height: Q ttf� ftfLES E '-: F'$ ",.� 's,CONTRAGTQR t;'aac "sx.,TkFt4 .a>. efrr ice„ Z'it. y:d t..<ti ,,. Y °. b_ ';4_ K t yr NameMathers Engineering Corporation Name: Address: Company: Blue Coast Construction City: Stuart State:FL Zip Code:34957 Fax: Phone No.772-284-5261 Address: City: State: FL Zip Code: 34997 Fax: 772-287-5348 Phone No. 561-632-3529 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) . E-Maii:.elie@biuecci.com State or County License: CGC1 OOIFp2 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. %c- v 1"'r C.,'IVr"'f, :liiY�V+h{�r'#.�f.7ffi 4 in}= _"^h ew,C._.X�•Y.. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable N a m e' Malhen En9inmM9 o•momlan Name: Address:2431 SE oWe K9" Address: City: shed State: FL City: State: Zip: 34996 Phone772-287-0szs Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencinu work or recordine vour Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The far ping instr� as a nowledge before me The fo oing i nt was acknowledg? before me this day of tQ 2Cty by this�dayof 20J8 by �1 i � Por9,�S . ©e) • it P�—���e ame of erso ma ing statemen� Name of person maki g statement / Personally Known OR Produced Identification Personally Known OR Produced Identification Type of I entification Type of Identifiicatioa— Produced Produced (Signature of _(Signature of Notary �.Mr .,, KAREN S. NIELSEN Commission ;" =stare. of Flouda_I�5Y _,.P._ublic_ .. Commission No Z''"'"� S ete o EN-S`NIEiy Public t =i' fi .. _ '- •- Commission q GG 207484 P° M Commission Expires y +--'Commi sion�HGG-Notary My commission Expires ''•w n 2022 '�nnn.• June 12, Juno 12, 2022 REVIEWS PLANS VEGETATION SEATURTLE MANGROVE FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPL�'ED Rev.8/2/17