HomeMy WebLinkAboutDailey2ApplicationAll 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 Replacements
PROPOSED IMPROVEMENT LOCATION:
Address: 4801 S INDIAN RIVER DR
Property Tax ID #: 2436-331-0007-000-1 Lot No. -
Site Plan Name:%35A00EGATINTOFELIOFFECRRAND NLIOFELKOSID,THRUN N(_YONRR]5FT,THSELY9 FT TOINDRIV,THSELYALGRIV]5MONLIOFELKOSID,THWLY3 FT TOP Block No.
Project Name: Dailey -Rear Building
FDETAILED DESCRIPTION OF WORK:
Install replacement windows - 7 openings
CONSTRUCTION INFORMATION: ...... ...........
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: $ 5500 Utilities: —Sewer —Septic Building Height:
bWNER/LESSEE: CONTRACTOR:
Name Ruth Dailey Name: Jonathan Starratt
Address: 4801 S Indian River Drive Company: White Aluminum
City: Fort Pierce State: Address: 2880 SW 42nd Ave
Zip Code: 34982 Fax: City: Palm City State: FL
Phone No. 772-971-1077 Zip Code: 34990 Fax: 772-877-2735
F-Mail: minaturemaps@gmail.com Phone No 772-212-1400
Fill in fee simple Title Holder on next page ( if different E-Mail astaples@whitealuminum,coin
from the Owner listed above) State or County License CBC 025116
..............
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $/,SUu or more, a RtCURDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x 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 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 FINANCING, CONSULT
WITH YOUR LENDE N _6RWY EFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ ssee/detractor as Agent for Owner
Signature of Contract 71icen V,older
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Martin
COUNTY OF Martin
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 6 day of July 20 by
this 6th day of July , 20_ by
Jonathan Starratt
Jonathan Starratt
Name of person making statement.
Name of person making statement -
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced—
Produced
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Rev. 21,1119