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All'APPLlCABLE INFO MUST BE(COMPLETED FOR APPLICATION TO BE ACCEPTED','
Date: � � � ��> . ," • � ; . . t •
Permit Number.
r t
• RECEIVED. ;
Building Permit Applicata n JUL 2 9 2019' ,
y
Planning:and Development 5ery ces
Building and Code Regulation Division ST. Lucie County, 'ermitting
2300 Virginia Avenue,fort Pierce fL 34982 + '
Phone: (772)462-1553 'Fax::(772)462 -1578;, 'Commercial j Residential X
PERMIT TYPE: R
•' eplacement
PROPOSEDyIMPR0VEIVIENT LaCATION ° _ ��� i ��
Address: 5821 Starcher Ave Ft: Pierce FL. 34947
Property Tax ID#: 2312-801-00037000-4
Lot No..2
Site Plan Name: Henning S/D-AN UNRECORDED PLAT IN SEC 12-35-39-LOT2 Block No.
Project Name: Window Replacement
aDETAILED DESCRIPTION
F. t
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Remove and replace front twovindows with impact windows
77-7--77777; zl,
CQNSTRUCTION 1NFQRIVIATIQN # e° .. ,p
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i'4 1 T `,
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: N/A Sq. Ft.of First Floor: N/A
Cost of Construction:$ $1,250.00 Utilities: _Sewer _Septic Building'Height:
: WNER/LESSEE CONTRACTOR
Name Earl GainesEarl Gaines
Name: •
Address:5821 Starcher Ave Company:E&B Elite Services Inc.
City: Ft. Pierce State:_ Address:5821 Starcher Ave
Zip Code: 34947 Fax:772-465-2351 City: Ft. Pierce State:FL
Phone No.772-577-0826 Zip Code: 34947 Fax:
E-Mail:ERLGAINES@COMCAST.NET phone No 772-W-6826
Fill in fee simple Title Holder on next page(if different E-Mail ERLGAINES@COMCAST.NET'
from the Owner listed above) State or County LicenseCGC 1517445
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.
SUPPLEMENTAL CONSTRUCTION Lf'EN LAW INFORMATION
N ��_
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: f Not'Applicable .
.Name: Name:-
'Address: Address:
City: State: City: State:
Zip`, Phone' Zip: Phone:
FEE SIMPLE TITLE HOLDERi,,! _Not Applicable 'BONDING'COMPANY _Not Applicable,
NaName
Address: Address: a'
city:' „ city: i
Zip; P,hon'e: Zip: Phone:
OWNER/;CONTRACTOR AFFIDVIT:,Application"is hereby,made to obtain a permit'to do the work"and instaliation as,indicated.
I;certify that'no work orinstallatlon has commenced prior to the issuance of*a' permit.
L, .
St. Lucie County makes no representation that is.granting a permit will'authonze;theperrmt holder to'b'uild the subject structure
which'is in:con lict 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'[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/Licens Holder '
STATE OF FLORIDA ; STATE OF FLORIDA
COUNTY OF COUNTY OF
The f4rgtoing instrument was acknowled9A before me The forgoing instru ent was acknowledge before me
this day of U0q ;20 by this day of. -, (IN by
Name of person making tatement: Name of person maki g statement:
Personally Known.. OR Produced Identification Personally Known OR Produced Identification
Type of Identification ' Type of Identification
Produced Produced .
'(Signature of Notary Public-S ate of Florida)'' (Signature of'Notary Public-,State of Florida)
Commission N Commission No.
EN'S. 1 LSEN,. N S,. NIELSEN
1PRY P(,B `�1PRY PG9 i K A R
State of Florida-Notary Public *° ,state of Florida=Notary Public
=,,, o c 07484 '
M' Commission xpires '.foF �oP.�. My Go mi i
REVIEWS G. 20 ?
Up
ISOR PLANS VEGETAT '"""'SEA TURTti ,e ��/E'
REVIEW REVIE
DATE
RECEIVED
DATE
COMPLETED
iev. 2/7/19