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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED —1
Date: Permit Number:
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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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 2409 Tamarind Drive, Fort Pierce, FL 34949
Legal Description:
Property Tax ID#: 1436-601-0045-000-4 Lot No.25
Site Plan Name: Fort Pierce Shores-Unit 1Block No. 2
Project Name: Sidewalk Extension
Setbacks Front 25 Back: 20 Right Side: 7.5 Left Side: 7.5
DETAILED DESCRIPTION OF WORK:
Extension of existing sidewalk on south side of house.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all appy:
HVAC L_J Gas Tank Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 375 sf SFt.of First Floor:
Cost of Construction:$ 2,250 Utilities:n Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR
Name Robert S.&Mary E. Rude Name:
Address: 14081 River Road Company:
City: Fort Myers State:FL Address:
Zip Code: 33905 Fax: City: State:
Phone No.239-872-5364 Zip Code: Fax:
E-Mail:bobrude@outlook.com Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ;ti,. PW
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: X Not Applicable BONDING COMPANY: x 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 anti 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,
accessonAstructures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNIi IG TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improVE ments to your property.A Notice of Commencement must be recorded and posted on the jobsite
before t le first inspection. If you intend to obtain financing, consult with'lender or an attorney before
commei cing work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA // � � STATE OF FLORIDA
COUNTY OF COUNTY OF
The for ng instr ent was acknowledged before me The forgoing instrument was acknowledged before me
this Ztday of 20/1 by this day of 20 by
(Name of person acknowle ging) (Name of person acknowledging)
(Signature of Notar Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Prc uCe ype of Identification Produced
':° ;F
Commission No. j' MYyISSION#FF171036 ommission No. (Seal)
EXPIRES October-22,,20181
rvi com
Revised 07/15/2014
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