HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _lq_ Permit Number:
RECEIVED
- -- - - - -- Building Permit Application. JUN 2 6 2019
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
PERM IT TYPE:
PR®POSED IMPR,O�VEMEN�T LO TI "131
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Address: 8111 Carnousite PI,Port St Lucie,FL 34986
Property Tax ID#:3327-503-0036-000-8 Lot No1.11
Site Plan Name: Block No.
Project Name: Donald or Ruth Pritsch
D�'�AILED CRIPTI®N 4F
11100
IIIStall C,
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CQ'�N�STRU'CTIC3N INF®Rf1lIATI�N;
Additional workto be performed underthis permit—check allthat 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:$209400 Utilities: —Sewer _Septic Building Height:
®9WNE�R/LESS'Ef: CONitR�AC�tT�®R•
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NameDonald or Ruth Pritsch Name:Ronald Heath
Address:8111 Carnousite PI Company:Max Guard Hurricane Windows LLC
City. Port St Lucie State:FL Address:2253 Vista-Pkwy,Ste 12
Zip Code: 34986 Fax: - City:west Palm Beach State:FL
Phone No.732-513-9466 Zip Code: 33411 Fax:
E-Mail:'dotinapschaare@yahoo.com Phone No 561-276-7100
Fill in fee simple Title Holder on next page(if different E-MailRheath@maxguardhurricane.com
from the Owner listed above) State or County License SCC131151738.
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.
5UPPLEIV,IENT�AL�C®N�5TRl�1Cfi®N LIEN LAW IyN�FORl1lIA�TI®-N� �� � �����
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Add ress: Add ress:
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 certifythat no work or installation has commenced priorto 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 covenantsthat may restrict or prohibit such
structure.Please consult with your Horne 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 APRINEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT:-
nature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLOPII A STATE OF FL IDA
COUNTY OFUvtu COUNTY OF y� QA e
The f r oing instru nt was acknowledged before me The f r oing instru ent was acknowledged before me
this ay of ' 2_ ,20 �by thisi�day of�_ 20� by
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Name of person making statement. Name of person making statement.
Personally Kno n_OR Produced Identification Personally Known '✓ OR Produced Identification
Type of(dent ' do Type of Identification
Pr ced Produced
MM
� nAnn
ature of Notary { ignature of Nota Public- Iorgd� Y BEER
"AY° TAMMY BEER MY COMMISSION#GG173091
Commission No._ MY COMMISPNIGG173091 Commission No. EXPIA&A)bruary25,2022
oF�� EXPIRES:February 25,2022 --
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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