HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential V_
PERMIT TYPE 'Hurricane Protection " Windows"
PROPOSED IMPROVEMENT LOCATION:`
Address: 10791 Grey Heron Court, Port Saint Lucie, FL 34986
Property Tax ID #: 3321-803-0073-000-2 Lot No96
Site Plan Name: Block No.
Project Name: Marcelle Aptheker
Install Hurricane Protection Products " Windows" ( 3) openings
CONSTRUCTION INFORMATION; I
Additional workto be performed under this permit – check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric —Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 6,555.00
Generator
Sq. Ft. of First Floor:
VWindows/Doors
_ Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameMarcelle Aptheker
Name: Brian Rist
Address:10791 Grey Heron Court
Company: Storm Smart Building Systems
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No.(631)905-6147
Address:6182 Idlewild St
City: Fort Myers State:FL
Zip Code: 33966 Fax: 884-330-8277
Phone No 561-229-0048
E -Mail: N ARCELLE.UZZI@COMCAST.NET
Fill in fee simple Title Halder on next page (if different
from the Owner listed above)
E-MailYSarzuela@StormSmartSE.com
State or County License CRC056857
IT Value OT construcTion is �zwu or more, a KtcUKDtU 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
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Add ress:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 FINANCINC, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ ssee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORID
STATE OF FLORIDA
COUNTY OF P2
COUNTY OF
The forgoing instrument as acknowledged before me
this C� day of ---, 2020 by
The fo,�oing instrument was acknowledged before me
this day of Y�'� --_ 20by
Name of person making state ent.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known 4!— OR Produced
_Y
_ Identification
Type of Identific on
Produced tipR14 Yesenia Sarzuela
NOTARY PUBLIC
---
Type of Identification
Pr duced -----------
� � oc —STATE OF FLORID
Comm# GG317472
i 0P*Rofes
(Signature of o�\a�y Pubbllic- State of Florida)
/
Si nature of Notary Public- of F rida
Commission No. Z `—� L� (Seal)
}State
Co mission No. VG L7 Z��1 10 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
1
',P,L�ANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19