HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: (��I -I V u s
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=15.78 Commercial Residential x
PERMIT TYPE: Building (Accordion Shutters)
RF�OPOSED 111tPROUEMfNT,COCATI4N._.
Address: 41 Grande Vista Way PSL, 34952
- Property Tax;ID#:.3414-50:1-1701-9 Lot No. .
Site Plan Name: Block No.
Project Name: Farland-
Al
, 3
°DETAILED DESCRIPTION OF WORK
Install nine Accordions
771
CON8TRkV ICIN INFORMATION ,f
r :
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 9900.00 Utilities: _Seyre +.Septic Building Height:
QWN ER/LESSEE , ,' COtVFRATOR 41
N ro r
Bruce'Farland Steve Mears.-,,
,Name ` .a Name
Address 41 jGrande Vista Ways Company"Lifetirneg,Exterwors
7' -! l�--
City: PSL State:_ Address: 102 South F St
Zip Code: 34952 Fax: City: Lake Worth State:FI
Phone No. Zip Code: 33460 Fax: 561-582-7505
E-Mail: Phone No 561-533-8700
Fill in fee simple Title Holder on next page(if different E-Mail Diane@Lifetimeextedors.net
from the Owner listed above) State or County License PSL135933
If value of construction.is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
,S,UPPLEM,ENTAL CONSTRUCTION„LIEN LAW INFORMATION
g
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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.”
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/Lice Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Steve Mears CO U NTY OF Steve Meas
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 18 day of Feb 20_ by this 18 day of Feb 20_ by
Name of person making statement. Name of person making.statement.
Personally Known x OR Produced Identification Personally Known x OR Produced.Identification
Type of Identification , Type of Identification
Produced D.BERNTSEN Produced
Notary Public-State of Florida ;t os KRYSTAL D.BERNTSEN
Commission#GG 269656 ?°;��`r�� Notary Public•State of Florid
My Comm.Expires Oct 21,2022 oma` Commission#GG 269656
_��
°F f`' ional Notary Assn. 'oFF`°°' My Comm.Expires Oct 21,202
. 5 .
i ature of oto (Si n ture of Notary Public-S
Commission No. (Seal) Commission No. .(Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.