HomeMy WebLinkAboutErickson permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number
•
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
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 5431 Place Lake Dr, Fort Pierce, FL 34951
Property Tax ID 8: 1312-502-0099-000-2 Lot No J98
Site Plan Name: Block No.
Project Name: Timothy or ]Caren Erickson
DETAILED DESCRIPTION OF WORK:
Install 14 Impact windows and I Door
CONSTRUCTION INFORMATION.
Additional work to be performed ur.derthispermit—checkallthatapply:
_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: 5 28,900 Utilities: —Sewer _Septic Building Height
OWNER/LESSEE:
CONTRACTOR:
NameTimothv or (Caren Erickson
Name: Ronald Heath
Address:5431 Place Lake Dr
Company: Max Guard Hurricane Windows LLC
Address:2253 Vista Pkwy, Ste 12
City. Fort Pierce State: FL
Zip Code: 34951 Fax:
City: West Palm Beach State:FL
Phone No.1 (218) 340-8003
Zip Code: 33411 Fax:
E-Mail: karotime(a`.ericksons.us
Phone No 561-276-7100
Fill in fee simple Title Holder on next page (if different
E-MailRheathCamaxguardhurricane.com
State or County License SCC131151738
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _NotAoplicable
Name:
Name:
Add ress:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDViT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is grantinHH a permit will authorize the permit holder to build the subject structure
which Is in conflict with any applicab a Home OwnersAs3oclatlon rules, bylaws or and covenants that may restrict dr prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
inconsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
In accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
`WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SRE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENC :MENT.n
+
i Sidfiature of Owner/ Lessee/Contractor as Agent for Owner
Ignature of Contractor/License Holder
STATE OF FLO$tDA
STATE OF FLOPA*
COUNTY OF nV_P
COUNTY OF ' inWP t/ai✓
The sing Instru e t was ackno edge before me
this day of �Q, 20by
Theforgoing instr nt was ac owledg before me
this � day of (qg�/ 20�D by
Vaye)n L, ey,'Q► uTTT'ZZ l
"PA IILid N.vf�-h
Name of person making statement.
Name of person making statement.
Personally Known V/ OR Produced Identification
Personally Known V/ OR Produced Identification
Type of Identification
Type of Identification
Pro uced
i
Prod ed
( i nat reofNotary bl'ic-State TAMdccn
A15 COMMISSION 25.
Commission NO. LAES Pebru�`
(SgnatureofNota Publ ee aYBEER
/\ TA MI IONdcona�l
Commission No. f MS Cga 25.2022
EXPI brue�'
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
eV.