HomeMy WebLinkAboutWilliamsSLCBuildingPermitApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
1 i� Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Window Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 123 BEACH AVE, Port St. Lucie 34952
Residential X
Property Tax ID #: 3419-515-0030-000-5 Lot No. 3
Site Plan Name: RIVER PARK -UNIT 3 Block No. 5
Project Name: Williams Windows
DETAILED DESCRIPTION OF WORK:
Install Replacement Windows- 14 openings
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors , Pond
Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 6800
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name George D Williams III
Name: Jonathan Starratt
Address: 2722 SE Eagle DR
Company: White Aluminum
City: Port St Lucie State:
Zip Code: 34984 Fax:
Phone No. 772-497-4422
Address: 2880 SW 42nd Avenue
City: Palm City State: FL
Zip Code: 34990 Fax: 772-877-2735
Phone No 772-212-1400
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail astaples@whitealuminum.com
State or County License CGC 1523855
IT value oT construction is LSUU or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State.
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X 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 Associatlon 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencinp, work or recording you r Notice of Commencement.
Signature of Ownerf Lesse /Contractor as Agent for Owner Signature of Contracto /Licen Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF Mahn
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization x Physical Presence or Online Notarization
this 10 day of July 2020 by this 10 day of July 12020 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
Prfld ced Produced
{ ignature Notary Pu a IC State of Florida (Signature of otary Public- Stat o a
r Notary P bi on w Notary Public State of F3
yp , An la Stapies {P r An eta Staples
Commission N0. GG23510 gIl g,ort GG 235102 GG235102
My ,rasa7lDaiasJ22 Commission No. ela� Co+mniss,on GG235
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Rev- 5 6T20