HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dairy�L1 1 �� Permit Number: mL
RECEIVED
Building Permit Applic tio&PR 9 4 '019
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
PERMITTYPEVindow & Door Replacement
Address: 7802 Long Cove Way
Property Tax ID#: 3321-803-0088-000-0 Lot No.84
Site Plan Name: Reserve Plantation-Phase IIA Block No.
Project Name:
Replace 3 windows and 3 doors w/new impact windows and door in existing openings
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:$ 10,000 Utilities: _Sewer _Septic Building Height:
Name David A&Arlene D Wilkerson Name:Joseph Zangre
Address:209 Truitt Ave Company:The Z-Group, LLC
City: Milford State:_ Address:2586 SE Stonebriar Way
Zip Code: 19963 Fax: City: Stuart, State.FL
Phone No.302-228-3414 Zip Code: 34997 Fax: 772-286-7152
E-Mail:dawilkerson@verizon.net Phone N0772-263-0621
Fill in fee simple Title Holder on next page(if different E-Mailzgroupllc@bellsouth.net
from the Owner listed above) State or County License CRC 017467
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.
DESIGNER/ENGINEER: X 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 thepermit 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."
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Signature of Owner/Lessee/Contractor as Agent for Owner Sign a of C6ntractor/Lkense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ink COUNTY OF m fatica`i�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged Pefore me
this Z fs day of m nite-h 20/f by this -2 9 day of _ rn care[ 20_1 Y by
Name of person making statement. Name of person making statement.
Personally Known ✓ OR Produced Identification Personally Known tl� OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signat r f Notary Public- _ ll�+)• (Signatu of Notary Publi t
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,,,••t�stvo�+,, GERTRUDE2ACCAI ,
Commission No. 7 �IorMPublic-State of Florida 0009/y 0_�6
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( Commission No. �'S� Public-State of Florid
mission A GG 079147 � �'ri
Mycomm.ExpiresApr13,2021 CommissionAGG079147
OFF�.;;.•', My Comm.Expires Apr 13,202
roug a ono Notary
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATIONEjA
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COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE LETED
Rev.