HomeMy WebLinkAboutBuilding Permit Application SUPPLEMENTALFCONSTRUCTION LIEN;LAW INFORIVIATIO.N
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DESIGNER/ENGINEER: _-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: XNot Applicable
Name: PATRICIA J STEWXRT Name:
Address 504 NW WINTERS CREEK RD Address:
City: PAL CI city:
Zip: .34990 Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work andinstallation as indicated.
1 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 ermit holder to build the subject structure
which is incon conflictwith anyapplicable Home Owners Association rules,bylaws or and covenants'thatmay restrict or prohibit.such
structure.Please consult with your Home Owners.Association and review yourdeed 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 intInd to obtain financing,consult with lender or an attorney before
com nc work r cordi you otic of'Com
menceme t.
Signature of Ownr Lessee/Contractoras Agent for Owner Signature of Co r ctor/License Holder
STATE OF FLO A STATE OF FLORIDA
COUNTY OF �-tCA4tn COUNTY OF 6Q G, 4-,.-%
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I t day of.. _JV y-%L 20111 by this.1((day of -,T u20 it by
C9- re c�o✓u adO�Gfo�{ra r` Q L4 $COLO-ey X4-0
Name of person making statement Name bf per in making statement
Personally Known_Loo," OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida) (Signature of Notary Public-StateO �fI ida
t ) LAURA J.COLWELL
ltgrvtro�� LAURAJ.COLWELL s° "'••4�'
CI CI-1 b s •••, n aC''R SS10N#FF 2
Commission No. * #( FjOMMISStON#FF 99907 Commission No. ���1�t9 app A�ry6,2020
�' `oe
EXPIRES:Api96,2020 OFF40�`oe BoM7REVIEW
EBudgeiNoWY
;QFF1. BOndedThNBudgetMoWyS
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE NGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
.DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
i~
ALL APPLICABLE INFO MUST BE.COMPLETED FOR APPLICATION TO BE ACCEPTEWo-
LD
Date 06 ',9YS G, .? y Permit Nu DI
Building Permit Applicati
Planning and Development Services ment
Building and Code Regulation Division t FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial
PERMIT APPLICATION FOR: To Select from dropbox,click arrow at-the"end of line
t
PfiOPC)SED INMPROVEMENT,LOCATFON``'
Address: 504 NW WINTERS CREEK RD.PALM CITY,FL 34990
Legal-Description: HARBOUR RIDGE-PLAT 20 LOT E
Property Tax ID#: 4422-810-0008-000-1 Lot No. E
Site Plan Name: - Block No.
Project Name: PATRICIA J STEWART
Setbacks Front Back: Right Side: LeftSide:
DETAILED DESCRIPTION O WORK
REMOVE&REPLACE(1)3 WIDE FIXED OVER CASEMENT JELD-WEN IMPACT WINDOW
REMOVE&REPLACE(1) CUSTOM WOOD 2 PANEL SLIDING GLASS DOOR JELD-WEN
IMPACT
CONSTRUCTION INFORMATION:
Additional work to be rierformed un ert is permit—c ec a apF y:
[]HVAC 1_1 Gas Tank ❑Gas Piping Shutters a Windows boors
FlElectric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: SCI.
of First Floor:
Cost of Construction:$ 16,800.00 Utilities:L J Sewer Q Septic Building Height:
oWIVER/L,=ss�E
CONTRACTOR
Name PATRICIA J.STEWART Name: GREG MORABITO
Address:504 NW WINTERS CREEK RD. Company: GM CONSTRUCTION LLC
City: PALM CITY State:_FI. Address: 313 SW ALBANY AVE.
Zip Code: 34990 Fax: City: STUART State:FL
Phone No. 772-- 314-39571 zip Code: 34994 Fax: 772-781-8505
E-Mail: _ Phone No. 772-781-8500
Fill in fee simple Title Holder on next page.(if different E-Mail: gmconstruction@be115oilth.net
from the Owner listed above) State or.County License: CGCO49743
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If value of constructionIs$2500 or more,a RECORDEDNotice of commencement is required.