HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INF ST BEOMPLETED FOR APPLICATION TO BE ACCEPTED
5' ! � ` �
Date: Permit Number:
0
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: Window/door
PROPOSED IMPROVEMENT LOCATION:"-
Address:
OCATION:Address: 9619 Enclave Circle Port Saint Lucie FL 34986
Legal Description: ENCLAVE AT THE RESERVE LOT 16(OR 3449-2247)
Property Tax ID#: 3322-800-0019-000-0 Lot No.16
Site Plan Name: Mayrides Residence Block No.
Project Name: Mayrides Window Replacement
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Replace (12)windows on front of residence with PGT WinGuard impact windows
'_7 v I x I�J
CONSTRUCTION INFORMATION:
Additional work to be pertormed under tispermit—check all appy:
❑HVAC 1:3 Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers ❑Generator EIRoof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 10,000 Utilities:In Sewer Septic, Building Height:
OWNER/LESSEE . CONTRACTOR-:
Name Miriam R Mayrides Name: Aurelio F. Pereira
Address:9619 Enclave Circle Company: Villadelta Construction Corp. LLC
City. Port Saint Lucie State:FL Address: 1425 SE Village Green Drive
Zip Code: 34986 Fa x: City: Port Saint Lucie State:FL
Phone No. ®7�� Zip Code: 34952 Fax: 888-869-1058
E-Mail: Phone No. 772444-2577
Fill in fee simple Title Holder on next page(if different E-Mail: bob@villadelta:com
from the Owner listed above) State or County License: CRC058035
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
'SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
!E
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: Miriam R Mayrides Name:
Address: 9619 Enclave Circle Address:
City: Port Saint Lucie City:
Zip: 34986 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.
le s
_Signa ure of Owner/Lessee/Agen i nature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLOt��DA
COUNTY OF q� . f,�`P� COUNTY OF
The forgoing instruqRent was ackn wledged before me The forgoing instru ent was acknowledged before me
this day of 20/�by this day of 20 LL by
y oren M.Maccarone
NOT Y PUBLIC
o y
(Name of perF 992683 (Name of person acknowledging)
s�ycE I Ex ires /29/2020
LWL �.,Q CLua
(Signature of Notary Pub ic- t e of Florida) (Signature of Notary Public-State of Florida)
Personally Known��St. t.�ij Pr tion Personally Known OR roo ce Iden ific tion
Type of Identificationy-j" z Type of Identification Produce U V ►7 `�V �"
4 , ISA M CA DULLO
�i Casnm# �Q��663 Commission No. aI� ,- °8;-,, (Seal
Commission No. ..:e l=xpiles /29/2020My Public-State of Flori
o°= Commission#:FF 242801
4 iN Q:
bly .Ephes Sup 25.201
n
Revised 07/15/2014 Bonded through National Notary Ass
�-�.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS