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HomeMy WebLinkAboutBuilding 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 X PERMIT TYPE:WINDOW REPLACEMENT PROPOSED IMPROVEMENT LOCATION: Address: 9500 AVENEL LN, PORT ST LUCIE FL Property Tax ID #: 3322-502-0040-000/1 Lot No. 34 Site Plan Name: TRIPOLI Block No. Project Name: TRIPOLI ©ETAILED DESCRIPTION OF WORK: WINDOW REPLACEMENT 2 OPENINGS IMPACT f CONSTRUCTION INFORMATIONf Additional work to be performed under this permit– check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters �, , Electric ! Plumbing — Sprinklers Generator Total Sq. Ft of Construction: _ Cost of Construction: $ 2661.00 Sq. Ft. of First Floor: Utilities: —Sewer _Septic _ Windows/Doors Roof Pitch Building Height: OWNERAESSEE: CONTRACTOR: Name FRANCIS TRIPOLI Name: MICHAEL GOODWIN Address:1 HARRISON ST Company: MLG CONTARCTING LLC Address: 1450 SE GRAPELAND AVE City: WEST HARRISON State: _ Zip Code: 10604 Fax: Phone No.914-907-5231 City: PORT ST LUCIE State: FL Zip Code: 34952 Fax: Phone No772-418-0560 E-MailMLGLLC2PROTONMAIL.COM E-Mail:FRAN_EEE@YAHOO.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License CGC1 527586 It value of construction is 52500 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 Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: BONDING COMPANY: Not Applicable Name: 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 additio , accessory structures, swimming pools, fences, wa , signs, screen rooms and accessory uses to another no idential use "WARNING TO OWNER: YOUR FAI E RECORD A NOTICE OF COMMENCEME T M U IN YOUR PAYING TWICE FOR IMPROV ENTS UR PROPERTY. A NOTICE OF CO E EM S BE RECORDED AND POSTED T"t J SIT F E THE FIRST INSPECTION. IF YO IN D T FINANCING, CONSULT WIT OU L,OD OO A RNEY BEFORE RECORDING YOU NOT EMENT." Hev.2i /17 Signatu 99 of Owner/ Less Contractor as Agent for Owner ature ofQgntcactofcense Holder STATE OF FLORIIIA STATE OF FLO A COUNTY OF L� a A.0 ��`z COUNTY OF The forgoing instrument was acknowledgedefore me The forgoing instrument was acknowledged before me this � day of 02Q--(420 Z�y this i S day of 20 ZO by m10.hQe. \ L &0cA('o"r' r^ntiC"-,cf_� Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification ✓ Type of Identification 1 - Produced 7-1- -f i r -r.5 Li c 5 Type of Identification Produced !— 1, LL),,, �r5 o6l Z& (Signature of Notary Public- Sta6jprida) pAAAEUROFtTIZ (Signature of Notary Public- State of Florida ,...., r M1' COMMISSION # GG 082218 Commission No. I � (S RES:Mwois Commission No. l.� c>FSZZItN (Se�g� 2021 ( —0� ZZ )l� 6�5 wwo*"4 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Hev.2i /17