HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number` . D
MEN
AECEIVCD .
s
�luilding Permit A pH 19
2019
Planning and Development Services
Building and Code Regulation Division [� p r� n .
2300 Virginia Avenue,Fort Pierce FL 34982 Co Unt ePhone:(772)462-3553 Fax:(772)462-2578 Commercial YrFL
PERMITTYPE: Window/Door Ripreplace
PRi7POSED 111/f f ROVEMEN�`kOCATfON E I Z
- i ss i rt -a,� 9_ .�-.:. ' .,r.uF:E •,C.�'..3y_ � ifr, ,
Address:7916 Black Tem Drive, PSL, Florida 34952
Property Tax ID.#: 3424-701-0030=000-2 Lot No.14(3677-1029)
Site Plan Name: Titman.ResidenceBlock No. 54-
Project Name: Same as above
a 1
Replace existing Doors with SIW impact product f
Additional work to be performed under this permit–check all that apply:
_Mechanical. _Gas Tank _Gas Piping _Shutters X Windows/Doors
_Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq:Ft of Construction: . Sq:Ft.of First Floor: _
Cost of Construction:$ 2,990.00. Utilities: .—Sewer. _Septic Building Height:
OV � T
s h
Name John Titman Name: Carlos Pini
Address: 3076 Schubert Drive, Company: Fred's Contractor Services, Inc
City: Silver Spring State:_ Address: 3599 23rd Ave S.
Zip Code: 20904 Fax: City: Lake Worth State: Fl
Phone No.301-873-3288L, Zip Code: 33461 Fax: 561-623-7849
E-Mail I �Z W1 m0&406A-CO Phone No561-635-3325
Fill in feesimple Title holderon next page(if different E-Mail fredscontractorservices@gmail.com
from the Ownerlisted above) State or County License CRC1328555
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.
ENTAL`CONST UCTtC?Rl INF.-OR' ATI
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: A Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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 IWAY 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
WIT OUR LENDER Olt TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT A
gn ure of Owner/Lessee/Contractor as Agent for Owner Signa r o Cont r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5�-V.uC� COUNTY OF 9-/-
The forgoing instrument was'acknowledged before me The forgoing instrument was acknowledged before me
this day of MCx-dn 20 1 by this 'Z day of Mo-6i 20 M by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification r/ Personally Known OR Produced.Identificationy
Type of Identification Type of ldtifrc�,t�on
Produced Produced.r,
y('i' � L,G Pi,S-sem
n
(Sig ure of Notary. bli >~ f Fl or' ignature of Notary Public-State o E ki' MIGUEL NA ►
UEL NAPOLE$ ES
MY "9 MY COMMISSION#G 072039
Commission No. — d iiUIISSIOPJ#GG0720 ommission No�IStJ/GtJ.�� ��oFF al)EXPIRES F.ebruar 1
oPt�q;'`
EON
ES February 12,2021 "' 2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 1