HomeMy WebLinkAboutBuilding Permit Application i
All APPLICABLE INFO MUST BE COMPLETED FOR APPL_ ICATION TO BE ACCEPTED
,Date. 8/12/19 Permit Number:
i
•
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 Residential yes
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 2801 N.A1A Unit F Fort Pierce FI. 34949
PI operty Tax ID#: 142570101671102 Lot No.2
Site Plan Name: Hutchinson Island Residential Development Block No. 7
Project Name: Jurisdiction City
DETAILED DESCRIPTION OF WORk:'
Remve and replace windows,slider,doors replaceing with impact windows and doors.Replaceing all cabnets and counter tops
1-011 1-0- /1221P1 7
CONSTRUCTION INFORMATION:
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: 1088 Sq. Ft.of First Floor: 544
lost of Construction:$ 8300.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Henry Taramona Name:Ronald Mancuso
Address:146 W.Thatch Palm Cir. Company-1st. Floridian Corporation
City: Jupiter FI. State:_ Address:401 Old Dixie Hwy. #3505
Zip Code: 33458 Fax: City: Jupiter State:Fl.
Phone No.646-404-3480 Zip Code: 33469 Fax:
E-Mail:Henry@dubinrealty.com Phone No 561-371-1000
:Fill in fee simple Title Holder on next page(if different E-Mail RON1 FLORIDIAN@GMAIL.COM
;from the Owner listed above) State or County License CGC01 3925
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.
i
SUPPLEMENTAL CONSTRUCTION LIEN 'LAW INFORMATION:
DESIGNER/ENGINEER: _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 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 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."
natur of er/Lessee/Contractor as Agent for Owner Signature of Contractor/Licen a Holder
.STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF__ /Y} y{W-W COUNTY OF ,y V4rlAJ
,The fo�oing instrument was,acknowledged before me The forgoing instru ent was acknowledged before me
this day of tt e 20ff by thisLZ day of 20J2 by
Ae;04 V
Name of pe son making statement. Name of person making statement.
,Personally Known X OR Produced Identification Personally Known—OR Produced Identification
Type of Identification Type of Identification
Produced Produced
f �
(Signatur of Not Public-State of FI of otary Public-State of Florida)
�S*N- Notary Public Sta of FloridaCommission No./'f 3/gd ShirleyM Read Commiss' n No.�i� 3 P�
Q My Commission F 893180 No Illic State of Florida
of naP Expires 06/1=02 ShHey M Rearick
My Commission
or a ires 0 5/1812020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
lev.2/7/19