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All APPLICABLE
ICINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U
Date. . U.
ks 8 V
� I it PermNumber:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
C el C (az* I
Building €®mit Application
SCANBY
St. Lucie Cou ty
Address: 5302 Hickory Drive Ft. Pierce,FL 34982
Property Tax ID #: 3402-608-0457-00017
Site Plan Name:
Project Name:
J 06 2olg
ST. L— iecCounty, Perm
Commerclaff Residential X
DETAILED DESCRIPTION OF WORK:
New Single Family Resident J BypOepgm _
CONSTRUCTION INFORMATION:
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: 2239 SF
Cost of Construction: $ 140,000
Sq. Ft. of First Floor: 1553
Utilities: _Sewer _Septic
Lot No. 17
Block No. 52
-Windows/Doors
Roof 6/12 Pitch
Building Height: 15'
OWNER/LESSEE:
CONTRACTOR:
Name RNH Enterprises Inc.
Name: Robert H Scherer
Address:1082 SW Lighthouse Drive
Company: Scherer Management Company
City: Palm City State: _
Zip Code: 34990 Fax:772-288-2139
Phone No. 772-370-7287
Address:4640 North Federal Hwy.
City: Ft. Lauderdale State: FL
Zip Code: 33308 Fax: 772-288-2590
Phone No 772-370-7287
E-Mail: Hometec@bellsouth.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mall-Hometec@bellsouth.net
State or County License CGCO16842
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: _ Not Applicable
Name: Paul welch
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: +984 Sw altmore St suit 914
Address:
City: PSC State: FL
Zip: 349e4 Phone772-7as-9aea
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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 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."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLO
STATE OF FLOR�A/�
COUNTY OF r a,�,_yv� �P�D r Q,�..
COUNTY OF ���r. E�LGio,L.
or o
The ing instrument was acknowledg d before me
this day of� 20by
The forgoing instrument was acknowledged before me
this laday of 200 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification ✓
Personally Known OR Produced Identification ✓
Type of Iden 'fication
Type of Id�entification `.
dUProduced'Ti3 L-e—
(Mr^
T
(Signature of NotaryPublic- State of Florida)
(Sign ure of Notary Public- State of Florida J
y�
�1Ci — I a3p
I a'�
Commission No.
mmission No. Seal)
•`��a�r'%"'•• ANNIE M. PAGE
mhri, - State of Florida
ommission 1 GG 123049
Notary Public - StateofFl
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