HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
COUNT
• R I D A Building Permit Application
Planning and Development Services Commercial Residential
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: WINDOW INSTALL
PROPOSED IMPROVEMENT LOCATION:
Address: 3707 PROMENADE WAY FORT PIERCE FL 34982
Property Tax ID #:
2433-502-0045-000-4 Lot No.45
Block No.
Site Plan Name:
Project Name. 11{iY
DETAILED DESCRIPTION OF WORK:
INSTALLING 4 WINDOWS
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
Mechanical
Electric
—Gas Tank
Plumbing
Total Sq. Ft of Construction: _
r +. f r'nnctnirtinn' i 4,806
_ Gas Piping
—sprinklers
—Shutters
Generator
Windows/Doors _ Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
NER/LESSEE:
CONTRACTOR:
meTIERNEY .7-bhn
Name:�OHN MALONE
Company:EFFICIENT HOME SERVICES OF FLORIDA
PROMENADE WAY
Address:9416 INTERNATIONAL CT N
rAddress:3707
PIERCE State:
City: ST PETERSBURG State: FL
y:FORT
34982 Fax:
Code:
Phone No. (772) 465-4B92
Zip Code: 33716 Fax:
Phone N0844-77B-8810
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-MailPERMITTING@EHSFL.COM
C„u
from the Owner listed above)
State or County License
__« o. rea
If value of construction is 2500 or more, a ncwnvov �• ••••••-••-- --
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Not
Name:
Address:
City: State:
Zip; Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address:
City:
Zip; Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Add ress:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip; Phone:
_Not Applicable
OWNER/ CONTRACTOR : Application is ere y
.... ..... ...
..
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
ri
structure. Please consult withpyolur Home Owners eAssociation'andrreview your deed for any restrictions which may aprohibit such
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
perty. A Notice of Commencement must be recorded in the public records of St.
improvements to your pro
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
Ic in our Notice of Commencement.
with lender or an attorneybefore commencm wor
or reco
:Sign
Agent
tur f Contractor/License Holder
Signature oowner]Lessee/Contractor for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFS..NT...
COUNTY OFPINEL ^S
Sworn to (or affirmed) and subsVibed before me of
swoliff to (or affirmed) and subscribed before me of
Presence or Notarization
_ P ysical Presence or _ Online Notarization
Physical _Online
this j�'� day of ZOZO by
this 1 day of 2020 by
Name of person making statement.
Name of person making statement.
OR Produced Identification
Personally Known ✓ OR Produced Identification
Personally Known
Type of Identification
Type of Identification
iil_
Produced 1.72L
Produced
(Signature of Notary Public- State of Florida)
ure of Notary Public -State of Florida )
r
r r a PUNic State of
Commission No. � 11 eagi 'a
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or oa �,yr ( � public State of Fla
tom Sion No. �•�" Sp
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< My iammssion G25
Steffan King
520 . M Commission GG 253
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22
er coo Ex ves 09/2
REVIEWS FRONT I SUPERVISOR
COUNTER REVIEW REVIEW
PLANS VEGETATION
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.