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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05-01-2017 . ANN Permit Number: 1 l) is -O
ED
BY
3t. Lucie county PO E C� E If IV 1E I'D
Building Permit Application MAY 16 2017
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34992 St. Lucie County, FL
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 � \ k I ryl,
Address: 8000 S. US1 Port St. Lucie FI, 34952
Legal Description: New Awning
Property Tax ID #: am -A c LAW — i l
Site Plan Name:
Project Name: New Awning
Setbacks Front Back: Right Side:
10t,AILED,DESCRIPTION`OF WORK:
v eLDs v� ate— FJFi w- ASK ee.�
Haamonar worK co oe errormea unaer r.rus Permm— L1
�HVAC Gas Tank ❑Gas Piping
Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
Lot No.
Block No.
Left Side:
Shutters ❑ Windows/Doors
Generator Roof = Roof pitch
S Ft. of First Floor:
Utilities. nSewer ❑Septic Building Height:
OWNER/LESSEE:
um
CONTRACTOR:
Name Matthew Lyle W LLc
Name: Leizek Grzanka
Address: 8000 S. US1 Suite # 402
Company: Total Facility Services Inc
City: Port St, Lucie State: FL
Zip Code: 34952 Fax:
Phone No.
Address: 557 NE 28th Court
City: Pompano Beach State: FI
Zip Code: 33064 Fax: 813-333-7368
Phone No. 516-232-3212
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: LGRZANKA@tfsseusa.com
State or County License: CGC 1519410
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Y
SUPPLEMENTAL CONSTRUCTIONLIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Gran9E.Gunderson
MORTGAGE COMPANY: _ Not Applicable
Name: N/A
Address: 4456 Tamiaml Iran unit n B14
Address:
City: Portcharlotte State: Fl
Zip: 33980 Phone: 941-391-5980
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name: NIA
BONDING COMPANY: _Not Applicable
Name: NIA
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anc�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 concurrencyreview: 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
�OJC,I- Ste,
Signatulfe of Owner/Lessee/Contractor asAgat for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this S day of 20 laby
STATE OF FLCIIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this S day of 11-Vi 20 _L7 by
1 a
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of FJeFida )Sov%h Cc—%ll+1
I
Personally Known � OR Produced Identification
Type of Identification Produced
Commission NO. W/A- (Seal)
Revised 07/15/2014
(Sin re of Notary Pub' to c Florida)
wn O Personally KnoR Produced Identification
Type of Identification Produced
Commission No.
Notary Public -State of Florida
My Comm.Eapires Apr 16, 2021
Bonded Ihm o National NmaryAsm.
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