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Building Permit Application
ALL APPLICABLE INFO PALIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: is Permit Number: Building Permit Application 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 Residential PERMIT APPLICATION FOR: Roof PROPOSED IMPROVEMENT LOCATION: Address: 7750 GERMANY CANAL RD PORT ST. LUCIE,FL 34987 Legal Description: 29 36 38 FROM NW COR OF SEC RUN SO DEG 00 MIN 20 SEC E ALG W LISEC 1046.53 FT,TH N 88 DEG 59 MIN 40 SEC E 100 FT TO E RNV GERMAN'CANAL RD AND POB, TH CONT N88 DEG 59 MIN 40 SEC E 660 FT,THS 01 DEG 00 MIN 20 SEC E 330 FT,TH S 88 DEG 59 MIN 40 SEC W 660 FT TO SO E RNV,TH N 01 DEG 00 MIN 20 SEC W ALG SO E RNV TO POB(5.0 AC)(OR 1536-481) Property Tax ID#: 3229-223-0001-000-4 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION QF'WORK" ���s-��.�t�ti2.. Z \J IkAe- CID 430 FrCkN ` l CONSTRUCTION INFORMATION: Additional work to be ertormed under t (s permit—check a appy: HVAC Gas Tank E]GasPiping MGenerator Shutters DWindows/Doors Electric 0 Plumbing Sprinklers 2I Roof Total Sq. Ft of Construction: `Llp S . Ft.of First Floor: c� Cost of Construction:$ `��O UtilitiesInSewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name MYRON J JANISCH Name: MAURICIO ORELLANA Address:7750 GERMANY CANAL RD Company: ONE CONSTRUCTION&ROOFING CONTRACTORS City: PORT ST LUCIE State:FL Address: 3437 SW EUROPE ST Zip Code: 34987 Fax- City: PORT ST LUCIE State:FL Phone No. Zip Code: 34953 Fax: 772-336-9379 E-Mail: Phone No. 772-519-2449 Fill in fee simple Title Holder on next page(if different E-Mail: ONECONSTRUCTIONSERVICES@YAHOO.COM from the Owner listed above) State or County.License: FLORIDA If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: `" • Address: City. State: OD City: State: Zip: ffjC4430 Phone: !1 �9 f�l� i_ Zip. Phone: FEE SIMPLE TITLE HOLDER: _Not A plicable BONDING COMPANY: Not Applicable Name: 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 attorney before commencing work or recording our Notice of Commencement. M&Pi'ti"o 0'tAa'('J s Si nature of Owner/Lessee/rAge Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDAp ` � COUNTY OF I • LUG-� �_.>COUNTY OF S�. d.e Theforgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thisZl0 day of PrL4 c 20 L-by this 2a day ofIJiC�us• 20 ins by (YlOUAJ� i ca CSI-,e l I an 61 © (Name of person acknowledging) (Name of person acknowledging) (S gnature of NotAry Public-State of Florida) �gnature of Notary Public-State of Florida) Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Produced Type of Identification Produced tPav rt" Commission No.EE1Uy'�© (Seal) Commission No. Ct'ILVI a°;••••seal) JENNIFER HANCE 'P ••'0°V% JENNIFER HANC * * MY COMMISSION#EE 164430 MY COMMISSION#EE 1 4430 s EXPIRES:January 29 2016 EXPIRES:January 29 2016 �OFF�°� one hru Budget Notary services Revised 07/15/2014 �'9j,OMP 1`4, Bonded Thru Budget Notary Services REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS