HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/16/2020 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 xx
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: y5U4 Hoinciana Court, Fort Pierce FL 34951
Legal Description: MONTE CARLO COUNTRY CLUB -UNIT TWO- LOT 194
Property Tax ID #: 1334-502-0075-000-6
Site Plan Name: NA
Project Name: Schmitt Window/Door Modification
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Removal of window & modification of opening -
Replace with new door
Lot No.194
Block No.
CONSTRUCTION INFORMATION:
Wdditiona wor to e er orme un er t Iis permit - c ec a tdat apply:
�HVAC Gas Tank Gas Piping _ Shutters ✓❑ Windows/Doors
Electric ❑ Plumbing ❑ Sprinklers ❑ Generator Roof Roof pitch
Total Sq. Ft of Construction: 0
Cost of Construction: $ 10,328.00
S Ft. of First Floor: 2475
UtilitieslSewer El Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameArthur & for Claudia Schmitt
Name: Joshua Farrow
Address:9504 Poinciana Court
Company: Farrow Construction Corp.
p Y�
City: Fort Pierce State: FL
Zip Code: 34951 Fax: NA
Phone No. NA
Address: _
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772.217.3918
Phone No. 772.617.2488
E-Mail: NA
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
IS.._..- -s--------�--- •- �__-- -----
E-Mail: info@farrowconstruction.com
State or County License: CGC1508740
- -- - ��••�•• — 11 „ C, a nF%.unuw rvotice of wmmencemem is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name : Seaside Engineering
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 4265 60th Sourt
Address:
City: Vero Beach State: FL
City: State:
Zip: 32967 Phone772202.8008
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 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Owner/ Le e/Contractor as Agent for Owner
Signat of ntractor/License Holder
STATE OF FLORIDA
COUNTY OF 1-a�-
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this 16th day of June . 20)_0 by
The forgoing instrument was acknowledged before me
this 16th day of June 20 by
Arthur Schmitt
Joshua Farrow
Name of person making statement
Personally Known OR Produced Identification
T ification
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
ro uced
Pr
(' nature of Notary Public- State of Florida)
(Slinature of Notary Public- State of Florida )
Commission No. t - 7 NgAEISWERTfi
COMM{SSION # GG018744
EXPIRES July 31, 2020
.� REN &ISWERtM
Commission No. VW
MY COMMISSION N GG016744
101RES July 31. 2020
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
HTW3WRII 3
C, C 'C