HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEL)
Date: �,�`�� aT Permit Number:
Building Permit Applicat(on JUN 18 2oeo
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: WINDOWS
PROPOSED IMPROVEMENT LOCATION:°
Address. 25 LAKE VISTA TRL APT 106#
Property Tax ID #: 3422-500-0342-000-9
Site Plan Name:
Project Name:
ST. Lucie County, Permitting
Commercial K Residential
DETAILED DESCRIPTION OF,`WORK: a
REPLACE 3 WINDOWS WITH IMPACT WINDOWS
CONSTRUCTION INFORMATION: °
Additional work to be performed under this permit— check all that apply:
_Mechanical 1 Gas Tank _Gas Piping _Shutters
_ Electric 1 _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ ;L'R ay Utilities: —Sewer _Septic
Lot No.
Block No.
-Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:- _
_CONTRACTOR ya.
Name PHYLLIS STEPHENS
Name: MATTHEW MARKS
Address:25 LAKE VISTA TRL APT # 106
Company: EAST COAST ALUMINUM PROUDCTS
City: PORT ST LUCIE State: _
Zip Code: 34952 Fax:
Phone No.772-342-3338
Address:913 EDWARDS RD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-464-7603
Phone No772-464-7600
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail ECAPINC@HOTMAIL.COM
State or County License24526
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.
-,SUPPLEMENTAL CONSTR_
CT10N C1EN
LAW INFORMATION.
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE, COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
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 FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Q' ..v \ Vim_
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTYOF ST LuerE
The forgoing instrument was acknowledged before me
this20u'dayof /MAY 202,0 by
RATrAIEW MICR (CS
Name of person making statement.
Personally Known V OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public -
Commission
NOTARY PUBLIC
�ME OF FLORIDA
Comm# GG973640
Expires 3/26/2024
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Sr. LUC I C
The forVing instrument was acknowledged before me
this2oo_dayof MAY 20Za by
&Tma# NARK r
Name of person making statement.
Personally Known _taOR Produced Identification
Type of Identification
" �
(Signature of Notary Public- State of Florida )
RUTH HOUTAN
commission No.66 9 739 VO t162YPUBLIC
STA OF FLORIDA
&Ccmrn#GG9?3N0
Expl
3/20/2024
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