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All APPLICABLE INFO MUST WCOMPLETED FOR APPLICATION TO BE ACCEPTED
Date- -NW Qs Per nit N L uni.6er-
0 RECEIVED
Building Permit Aoplitq '10" MAR 0 5 2020
Planning and, Development -Services
Building andCode RegUlation D(1141on ST. Lucie County, Permitting
2300 VirgWaAvienued, ForrPlerceFL 34982'
Phone�., Q7Zj.402-V553 FaX: (772) 462-1-5,78 Commercial,W, Residentfil
PERMITTY
Xe
0 Address:920 ech.bb-ee`R4
1,
Property Tax ,[D k.
Site. Plan Name:
Project Name - Creekside'B Ent
a complete electrical installation
I La.No,
Blockwo.—
co frtigation
C
AoaftjQnai WQrK to, tie perrormea uncier tins permit + crieCK all that: apply: - I
—Mechanical 'GasTank —.Gas,Piping Shutters 'Windows/Doors
Electric Plumbing Sprink.1%,s Generator Roof Pitch
Total.Sq. Ftof Construction:. Sq. Ft. of First Floor:
Cost of Construction: 341U0 Utilities: _Sewer , Sep�ic Building Height:
Name DR Hortqwiric.
'Name: Christina State'
Address- 1430 Culver Dr NE_
company I Yeay's Electric It, Inc I
City:, PaIT Bay state:
21pCode-: 52967 Fax-866-MQ-4891
Phone . N0.32143341972
Address:7790 Industrial
Rd
City: WestMelbourne, State�fl
Zip Code 32904, Fax! 321-725-5273
Phone No321-768-Q814
E-Mail: SlPedmfti@drh'orton,com
Fill"Imfee simple Title Holder or next Page if different
from the Owner listed. above)
E-Mail chnstina@hrevardelectricians.com ans.com
State,orCaqnt)t Llcen� E61 e 3009380-
_
I
If value of cans ' truictidmis, $2500 at more, a RECORDE-D.Notice of-Cornrhencement is,required.
-ff value of HVAC is $7,500 or more, a RECORDED Notice of, (fornmendimeht-isiequired.
I
Address: I Add
City:. _ -Sate-.. City
Zip: Phone . Zip..
FEE SIMPLE TITLE HO R: vl�J Not Applicable I BOP
Address: Address:
City City:
ZI Phone: Zt Phone: -
]WNER%"CONTRACTOR AFFIDVIT: Application isbereby made to obtain a perinit to do the work
1 certify that no workor installation has commenced prior to.•the issuance of a permit..
In consideratiopofthe granting of this requested permit Ida hereby agree that I will, in all respects, p
in accordancewith1heapprovedplans,thefrIo-rdaSuilding,Codesand St: Lucie CountyAmendments.
Thefollowing building permit applications are; exempt from undergoing a full concurrency review: roor
accessory` structures;,. swimming pool's,fenee5, walls, sikrils screen rooms and'accessary uses to anotfie.
"WARNING TO OWNER, YOUR FAILURE TO RECORD A NOTICE 'OF COMMENCEMENT MAY
TWICE FOR MPROYEMENTS TO YOUR PROPERTY A. @lOTICE OF COMMENCEMENT
!`•if POSTED ON TH06 51TE BEFORE THE FIRST INSPECTION IEYOU-IAIiEPID•TO OBT
Wirm Yn1I FN R Ott AN dTl'n47NFY BEFORE RECORDiN6 YOUR NOTICE OF CONMEI
PM -3WR
S2
Not Applicable
ate
the work
miaenttai use
LT IN YOUR I
BE RECORDI
Signature of Owner Lessee/Cdntractor as Agerr for Owner
n_ractor/License Holder
i
STATE OF FLORIDA
STATE OF FLORID,,Q�1
COUNTNOF 7fJ/er
COI NTYOF • fSY_I"
The fo mooing mstrumeppI� �vjyas acknowledged before me
I"C10
The forgoing instrument was acknowledged efore me
!20
this day of , _. _ .2010 by
this dayof` UQL y
Van-, a ..Lit 0,ar'cn
sl�),A,"
Name of:pei so..it; mak ng statement
Name of person makingstatteement.,
P-ersonaily Known _ `� OR.Produced Identification
Personally known ✓% OR Produced Identification
Type of identification
Type if Identification
Produ d.
WY P1
I
Produced
i
ature f NotaryPublic Stateaf ®Ori p�15e Fedrelll.
(Signature l ,Flbii6fa � 2 Inda
_
Commi55i 1-No.•
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carmisven 9GGdOt759
Commission 0`,°ram° My iamm Expires Ju`n 6@��;
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9onEeE thrxgh 4atianal NataryAssn.
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1 �DPERVISOR
PLANS
VEGETATION
SEATURTL'E
MANGROVE
COUNTER
REVIEW
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REVIEW
REVIEW.
REVIEW
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