HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 31x1 �� Permit Number: )46d3���aS
;RECEIVED
Building Permit Applicata n MAR 2 2018
Planning and Development Services ST. Lucie County, Permitting
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: Alteration -�
PROPOSED IMPROVEMENT LOCATION:
Address: CI.rC142 f aY`� tet` j yci-e W5�L—
Legal Description: L.ctK,� �.,�., E-S�T-e r f.*-i -Py 0 crn
O
Property Tax ID#: 3426-703-0019-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Remove and Replace skylights
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove and Replacing two skylights.
CONSTRUCTION INFORMATION:
Additional work tobene orme under this permit–check.a t appy:
HVAC L_I Gas Tank RGas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3500.00 Utilities: Sewer OSeptic Building Height:OWNER/LESSEE-CONTRACTOR:
NameAnthony Kerzic Name: James E.Reynolds
Address:8228 Sandpine Circle Company: Corad, Inc.
City: Port Saint Lucie State:FL Address: P.O.Box 5900
Zip Code: 34952 Fax: City: Lake Worth State:FL
Phone No.772-905-9111 Zip Code: 33466 Fax: 561-439-2196
E-Mail:awkrzic4747@gmail.com Phone No. 561-439-2184
Fill in fee simple Title Holder on next page(if different E-Mail: sunny@theskylightcontractor.com
from the Owner listed above) State or County License: CGC 054348
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: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 accessoryuses 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.
Si ature of Owner/ essee/Contractor as Agent for Owner Si ature of Contractor/License Holder
STATE OF FLORID / STATE OF FLORID ,,1�,
COUNTY OF 0MQ —�y_0,, \ COUNTY OF - �� l
The forgoing instrument was acknowledged before me The folding instrument was acknowledgebefore me
.
thisday of fflCUC•l'L. 2018 by this day of 4,A 20�� by
ibnes E. 2..9-c�A)( 0 d1S F /9--P-4A-)d ids
Name of per on making sta ment Name of per n making staf6ment
n
Personally KnowOR Produced Identification Personally Known OR Produced Identification
Type of Identificatioh Type of Identification
Produced Produced
(Signa re of Notary Pubi (Signature ONotary Public-S
l "W Notary Public State of Florida y
Commission No��C �(! �: Rd �jath®rin®Bradford Commission No. I9.Q /l0� I�pta�pubilc$f� ;a
y My Commission OC 180961 C�thdFr _ ,
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'? �8 Expires 11/13/2021 , My Comnfiss,An�C 16().
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17