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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c� U
Date: `� a� 5 Permit Number: 15 1' O 1 J-c>\,
4ECEW'M SEP 2 9'10Z
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 X
PERMIT APPLICATION FOR: P '�'`° \.Q,To Select from dro box, click arrow at the end of line bkta m®Y\
PROPOSED IMPROVEMENT LOCATION:
Address: 226 NE Jardain Rd Port saint Lucie FI 34953
Legal Description: RIVER PARK-UNIT 9-PART B BLK 73 LOT 21 ( MAP 34/28N)(OR 1674-2256)
Property Tax ID#: 3419-565-0027-000-6 Lot No.21
Site Plan Name: JARDAIN Block No. 73
Project Name: PLANTE
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF TORCH DOWN ROOF PITCH 1/_1.2
RE-NAIL EXISTING WOOD DECK
INSTALL ROOF INSULATION
INSTALL BASE SHEET PER PRODUCT APPROVAL
INSTALL MEMBRANE PER PRODUCT APPROVAL
CONSTRUCTION INFORMATION:
Additional work to be nerformed under this permit—check all that appy:
OHVAC Gas Tank EJ Gas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers 11 Generator R1 Roof
Total Sq. Ft of Construction: 2182 S . Ft. of First Floor: 1472
Cost of Construction: $ 12,900.00 Utilities:cnSewer OSeptic Building Height: 8'
OWNER/LESSEE: CONTRACTOR:
Name MAURICE &ARLENE PLANTE Name: MAURICIO ORELLANA
Address:226 NE JARDAIN ROAD Company: ONE CONSTRUCTION&ROOFING CONTRACTORS
City: PORT SAINT LUCIE State:FL Address: 3437 SW EUROPE ST
Zip Code: 34983 Fax:N/A City: PORT SAINT LUCIE State:FL
Phone No.772-8780848 Zip Code: 34953 Fax: 772-3369379
E-Mail:N/A 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: CCC-1330623
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _--_Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: PAUL WELCH Name:
Address:1984 SW BILTMORE ST SUITE#114 Address:
City: PORT SAINT LUCIE State: FL City: State:
Zip: 34984 Phone: 772-785-9888 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable 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 thepermit 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.
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF`4 •
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 Irby this 2i3 day of_ e.► embP/ 20 1'
by
(Name of person acknowledging) (Name of person acknowledging)
( ' ature of NotM Public-State of Florida) (Signature of N tary Public-State of Florida )
Personally Known / OR Produced Identification Personally Known ,✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.T=-L 1\.J 4112__10 (Seal) Commission No.=— 04 1 (Seal)
tiPar Duet JENNIFER FIANCE 4P R ':'�/o JENNIFER HANCE
"'••'AMY-COMMISSION Ii EE 16443
EXPIRES:January 29,2016 EXPIRES: anuary
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS