HomeMy WebLinkAboutPemit APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
�`L� LLLLL
Y Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Impact window install
PROPOSED IMPROVEMENT LOCATION:
Address: 14106AGUILAAVE. FORT PIERCE, FL34951
Property Tax ID #: 1306-500-0328-000-2
Site Plan Name: Mavrakes
Project Name:
DETAILED DESCRIPTION OF WORK:
Installing 8 Impact windows
Lot No. 72
Block No.
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: Sq. Ft. of First Floor:
Cost of Construction: $ 9,500 Utilities: -Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Simone Mavrakes
Name: John Richard Malone JR
Address: 14106 Aguila Ave Fort Pierce, FL 34951
Company: Efficient Home Services of Florida
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No.
Address: 9416 International CT N St.Pete FL 33716
City: St Pete State: F
Zip Code: 33716 Fax:
Phone No 844-778-8810
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Permitting(Pehsfl.com
State or County License CRC1327012
If value of construction is 2500 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: _ 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 bylaws
rules, 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 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 commencing work or recording our Notice of Commencement.
Signatue�z�
of Owner/ Lessee/Contra orM1as Agent for Owner
Signa a Contractor License Holder
STATE OF FLORIDA
STA E OF FLORIDA
COUNTY OF Pinellas
COUNTY OF Pinellas
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 16 day of July , 2020 by
this 15 day of July , 2020 by
John Richard Malone JR
John Richard Malone JR
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification x
Personally Known OR Produced Identification x
Type of Identification
Type of Identification
Produced DL
Produced DL
(' atur i Sta a of Florida)
na t c- tate Florida )
o tssi n 10. 25 112 4 Pubkc State of Flor
to an King
My Commssion GG 253520
mission No. 2535 v •4 Nota j` Sure of Florida
Steffan King
My Commission GG 253520
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REVIEWS FRONT ZONING MRW
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VEGETATION
COUNTER REVIEW REVIEW
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