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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 77_
Date: 06/12/2015 Permit Number: . IlV`
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Building Permit Application 5i0N1 Nnr
Planning and Development Services
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: Renovation
PROPOSED IMPROVEMEFNT`tOCATIC#N
Address: 9815 S Ocean Drive,Jensen Beach, FL 34957
Legal Description: Nettles Island Inc. ,A Condo Tract 3-N Section II (sheet 6 Of 11)(or 590-368)
Property Tax ID#: 4502-501-1604-000-2 Lot No.
Site Plan Name: Sauder's Landing Restaurant Block No.
Project Name: Sauder's Landing Restaurant Interior Remodel
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTICIK :WORK
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Clean up, repair and/or replace misc. existing electrical to bring to current code.
Repair/ replace interior drywall and suspended ceiling to bring to current code.
No structural changes are to be done.
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N-STRUC-T,.,'IO.N INFORMATION
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Additional work to be nertormed unclerthIS permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
❑✓—Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 800 SFt. of First Floor: 800
Cost of Construction:$ 2,200.00 Utilities: Sewer Septic Building Height:
OWN ER/LESSEE „CONTRACTOR:
Name Randy Sauder Name: Michael J McFarland
Address:9815 S Ocean Drive Company: Vanwal Environmental Contracting
City: Jensen Beach State:FL Address: 5475 NW St.James Drive, Suite#401
Zip Code: 34957 Fax:(772)229-0246 City: Port St. Lucie State.FL
Phone No.(561)818-7237 Zip Code: 34983 Fax: (772)873-1181
E-Mail:randysauder1@gmail.com Phone No. (772)418-6265
Fill in fee simple Title Holder on next page(if different E-Mail: mike.vanwal@gmail.com
from the Owner listed above) State or County License: CGC1509090 SLC 28598
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRU{:TION LIEN LAW INFC}RMATI�fU'
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DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: x Not Applicable
Name: Breton Waverly Corp Name:
Address: 9815S ocean Drive#2 Address:
City: Jensen Beach,FL City:
Zip: 34957 Phone: (772)229-2811 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 attorney before
commencing work or recording our Notice of Commencement.
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tigg6ture of Owner/Lessee/Agent Signature of Contractor/Lic nse Holder
STATE OF FLORIDA 1 STATE OF FLORIDA
COUNTY "
1l COUNTY OF ! Y 10-`i4l'6
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The for oing instrument was acknowledged befo a me The forgoing instrument was acknowledged before me
this I`�d ay of ;xy,-QJ 20 by this day of — 20 by
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(Name of rson acknowle ) (Name person 1knowled ing)
ignatur f Nota,fy ublic-State of Florida) (Signat of N to ublic-State of Florida)
Personally Known'" OR Produced Identification Personally Known OR Produced Identification is
Type of Identification Produced 104& b. L- Type of Identification Produced k&a -ts,, i_.
Commission No. L L 1 KS S("c) (Seal) Commission Nol-D g SS h[7 (Seal)
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Revised 07/15/201State of Florida 0Pp�pLe�-o
'�� State of Florida
N aCOMMISSION Min #EE 911855560 z FXMISSION#6E 18556
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DATE
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INITIALS