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All APPLICABLE
/I INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / I
Date: L ' "l Fav Permit Number:
RECEIVED
JAN-1 .4 7070
W . Building Permit Application
Planning and Development Services Permitting Department
St. Lucie CounN
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 'Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: Front Door Replacement
.PROPOSED IMPROVE MENT`LOCATION:: =
Address: 5809 Balsam Drive, Fort Pierce, FL 34982
Property Tax ID it: 3402-610-0343-000-2 Lot No.17
Site Plan Name: Block No. 81
Project Name:
DETAILED DES- CRI.PTION.OF-WORK:
Replace front door.
00
CONSTRUCTION:INFORMATION: .: -
Additional di onal work o -
t 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: Sq. Ft.of First Floor:
Cost of Construction:$ C Utilities: _Sewer Septic Building Height:
OWNER/LESSEE:; .'' ;.. -CONTRACTOR:`
Name Boat People Properties LLC Name:_ 1
Address:491 NE Solida Circle Company: _ 8QDV5 PrIa
City: Port Saint Lucie, FL State:� Address: _16n
Zip Code: Fax: City: U5 � 5 �• t��P State:_Q
< <.
Phone No.772-418-4145 Zip Code: �Z(�1�>' Fax:
E-Mail:kristavollmann@hotmaii.com Phone
Fill in fee simple Title Holder on next page(if different E-Mail s L\&JSyt,,J
from the Owner listed above) State or County License – 426,211
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.
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SUPPLEMENTAL CONSTRUCTION.LIEN LAW INFORMATION:"'{'
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: XNOt 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,
t
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."
i
Signat re of wner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA 6-rLvC;
COUNTY OF COUNTY OF
The f�,rgoing instru 'e t was acknowledge before me The for oing instrum n as cknowledged before me
thi ! day of '� 20U by this day of�.—'20_�Zly
Name of person making. /statement. Name of person making
/statement.
Personally Known V OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
r
Produced Produced
Y -
(Signature of Now u�t j to ,S�b f 9 (Signature of Notary P l b(i SPS
;7; COMM potobec 4,242 X600-sa�-7ot9 _: ;gflmmission#FF 920218
Commission No. "Expires N( 1��ntasuran Commission No. Expires(
ondedT•~ of BondedThN7roynlnsurance600.3b5701
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION' SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
' DATE
RECEIVED
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COMPLETED
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