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ALL APPLICABLE INFO MUST BE Cum'PLETED FOR APPLICATION TO BE ACCEP i [u
Date:9-8-16 6UANNED Permit Number: ��ri3 Q�]C13
BY RECE8V 4t:U
St. Lucie County
MAR 17 2017
Building Permit Application
PERMITTING
Planning and Development Services St. Lucie County, FL
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Building I-) I
PROPOSED IMPROVEMENT LOCATION: I
Address:
Ave, Fort Pierce, 34946
Legal Description: 32 34 40 S 466.7 FT OF E 466.7 FT OF FOL DESYPROP: S 1/2 OF SW 1/4- LESS JUANITA AV
AND LESS W 30 FT OF S 697.3 FT AND LESS S 155 FT- (OR 306-1060: 396-1332)
Property Tax ID #: 1432-344-0001-000-4
Site Plan Name:
Project Name:
Playground Installation
Setbacks Front Vn Back: Right Side: -10 '-b Left
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
Installation of Playground Equipment per plans at Sheraton Plaza Park.
CONSTRUCTION INFORMATION:
AaamonalworKlObepertormed under this permit— check all apply:
❑HVAC Gas Tank []Gas Piping _ Shutters Q Windows/Doors
❑ Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction: 1900 S Ft. of First Floor: N/A
Cost of Construction: $ 10,790 UtilitiesSewer ❑Septic Building Height: N/A
OWNER/LESSEE:
CONTRACTOR:
Name St Lucie County
Name: John Fitzgerald
Address:2300 Virginia Ave
Company: John Fitzgerald Inc
City: Fort Pierce State:FL
Zip Code: 34982 Fax:
Phone No.
Address: PO Box 655
City: Sanford State: FL
Zip Code: 32772 Fax:
Phone No. 407-323-8822
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: meghan@jfitzinc.com
State or County License: CBC1250614
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUIC- N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: OaIe Modrak
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: +6508 Hamii= cR
Address:
City: odando State: FL
Zip: 32833 Phone: S2143e-1879
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 atWmey before
as Aeent for Owner
STATE OF FLORIDA STATE OF �C i c COUNTY OF.
VIQ �G COUNTY OF
The forgggq�ing instrument was acknowledged before me The for oing instr me was acknowledged before me
this dayofc��iember 201l—by this day of 20 aby
1 WI 1 1 12. `f_ -R.edAef-, J r. JOHN FIRGER LO
(Name of person acknowledging ) (Name of person acknowledging)
(Signature of Notary Public -State of Florida )
Personally Known V
Type of Identification Pr
Commission No.FFa;
Revised 07/15/20
OR Produced Identification
t�WMEL CORTES
Notary Public - State of Florida
My Comm. Expires Jun 2, 2019
bndedthmuchNmaW NotarvAsm
State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No.
MY
BURNS
EXPIRES May 21. 2017
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