HomeMy WebLinkAboutBuilding Permit ApplicationALL.APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: lctMclw
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) 462-1578 Commercial
Address: 519 Paurotis Ln, Ft Pierce, FI 34982
;'Legal. Description: Palm Grove S/D BLK J Lot 15 (0.12AC)(OR3919-684)
!Property Tax ID #: 3410-503-0267-000-1
Site Plan Name: Palm Grove
Project Name: Gallant
, Setbacks Front Back: _
Right Side: Left Side:
IInstalling four windows in three openings of the home
Residential x
Lot No. 15
Block No. J
CQNSTRUCTIC;N
tU'FORIt%IATIDN
Additional work to be nertormed under this permit —check
all
apply:
EjHVAC
Gas Tank
Gas Piping
_Shutters
Windows/Doors
Electric Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S . Ft. of First Floor:
Cost of Construction: $ 3150
Utilities
Sewer Septic
Building Height:
iJ11VNER/LESSEE
CONTRACTf3R=
Name Raymond Gallant
Name: Jeff Jackman
Address: 519 Paurotis Ln
Company: Master Craft Aluminum Products
Address: 1634 SE Niemeyer Cir
City: Ft Pierce ! State: _
Zip Code: 34982 Fax:
City: Port St Lucie State: FI
Phone No.774-329-1901
Zip Code: 34952 Fax: 772-335-0860
E-Mail:
Phone No. 772-335-1177
Fill in fee simple Title Holder on next page ( if different
E-Mail: mastercraftaluminum@gmail.com
State or County License: SCC131150586
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
5UPPLEMENTALGONS LICI TRTON L(ENtAW,INFORMATION:
",lL
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: aay-—ftn+-
Name: ,�
Address: 51'9-P9UUW tn—
' Add ress: s fierce, I aa9s2
City: State:
City: RaaW�ei-- State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: NieFA yeF--iF 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.
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.
I
Inconsideration 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,
li ccessory 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
11
. N\" - V -
.
\_'ek
e Le a Contractor as Agent for Owner
Signatu o011RIDA
.
Si atu f ntrac r/License Holder
STATE OF
COUNTY OF -1C� ti
S F
COUN OF
The forgoing instrument was acknowledged before me
this I'l day of 7Ll . 20_L'� by
The forgoing instrument was acknowledged before me
this J2_ day of --J-?4 I2:1 204 by .
Name of person making statement
Personally Known ✓ OR Produced Identification
Name of person making statement
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary0'- IP
PUBLICNOTARY
Commission No.TATE o$sIF&PRIDA
cxnm#FF942382
111512020
(Signature of Notarg tS�f FloridaOTARY
PUBLIC
(Seal)
Commiss!Vvic,
FORIDAxpires
Comm# FF942382
2
i
REVIEWS
FRONT
f
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17