HomeMy WebLinkAboutBuilding Permit Application 1::�84I APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/17/2020 Permit Number: C)0 S – oy
K4 AY 21 2120
Building Permit Application
Planning and Development Services ST. Lucie Count/, Permitting �
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMITTYPE: Window Replacement
PROROSED IMPROVEMENT LOCATION: ENTIRE HOUSE
Address: 5111 EAGLE DR.
Property Tax ID#: 1312-801-0058-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
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DETAILED DESCRIPTION.OFi WQRK
REMOVE ALL EXISTING WINDOWS AND INSTALL NEW PGT IMPACT
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GONSTRUCTIOWINFORMATION:
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: Sq. Ft.of First Floor:
Cost of Construction:$ 10,000 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE CONTRACTOR
Name Jamie Ortiz Name: Frankie Gauthier
Address: 5111 Eagle Dr Company: Above and Beyond Developing
City: Fort Pierce State:_ Address: 1081 SW Bianca Ave
Zip Code: 34951 Fax: City: Port St. Lucie State: F
Phone No. 7 2�a S 3 S 1 Zip Code: 34953 Fax:
E-Mail: Phone No 772-579-5759
Fill in fee simple Title Holder on next page(if different E-Mail Frankieg1150(pgmail.com
from the Owner listed above) State or County License-CBC-1 261264
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.
.1 {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 thepermit 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 IMPROVEMENWTO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WIT UR LEND ATTORNEY BEFORE RECORDING YO NOTICE OF COMMENCEMENT."
ignature of Owner/Le ee/Contractor as Agent for Owner Signature of Contractor icense Holder
STATE OF FLORIDA STATE OF FLORID I
COUNTY OF O I. Luc.i P COUNTY OF _��'- L UO�.
The for oing instru ent was acknowledged before me The f oing instrument was acknowledged before me
this:7 day of 2016 by this�day of �Zjj 2610 by
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Name of person making statement. Name of person makiing/statement.
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature ofNotary Pu i S Flc �@�I °wlcstece (Signature o Notary Publi010?F
` FI � ° 'c State BY on
Melis Well i all
�� My Commission GG 115639 �aQ My Commission GG 115639
Commission No. Ex(i 1p/p612o21 Commission No. c ExpirIS 12021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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