HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07-15-2020 Permit Number:
v > z
X17.LLIUCDI E
0
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: Windows & Doors
PROPOSED IMPROVEMENT LOCATION:
Address: 280 BANYAN DR Port Saint Lucie, FL 34952
Property Tax ID#: 3419-520-0020-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement Installation of Qty(2)White Entry Doors and Qty(9)White Impact Glass Windows and Glass Sliding Doors
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: $ Utilities: _Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameTaylor Pearson Earlene Pearson Name:Same Home Owner Permit
Address:280 BANYAN DR Company:
City: Port Saint Lucie State:_ Address:
Zip Code: 34952 Fax: City: State:
Phone No.772-201-0095 Zip Code: Fax:
E-Mail:tipnees@gmail.com Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
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
N a m e:Richard Jamison nchard;emison@gmad.com Name:
Address:P O Box 5616 Address:
City: Ft Pierce State: FL City: State:
Zip: 34954 Phone 72-215-5623 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
WARN 11
TO OWNER: Your failure to Record a Notice of Comma cement may result in paying twice for
impr vements to your property. A Notice of Commencem nt must be recorded in the public records of St.
Luci County and posted on the jobsite before the first in ection. If you intend to obtain financing, consult
wi lender or an attorneybefore com .encin work or r cordin our Notice of Commencem t.
S' na re of Owner/Lessee/Contractor as Agent for Owner Sig ature of Contractor/License H
5TATE OF FLORIDAC STATE OF FLORIDA c
COUNTY OF Sq u6- COUNTY OF -+
S%�yn to(or affirmed)and subscribed before me of S5wn to(or affirmed)and subscribed before me of
Physical Presen or Online Notarization Physical Presen or Online Notarization
this f day of / 2020 by this day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known ORP7uced�ldecap@pEE HILLIP EPers ally Known OR Produced Identification
Type of Identification otary Public,State of Ir f Ida ' ication
ed FLI-.- Commission#GG t' Ofod ed ( ,�-)L
y comm.expires Mar. ,2022
Al J(�)h A V) AL,.-,-
(Signature of Notary Public tate of Florida ) (Signature of Notary Public-1211�
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RENEE PHILI.tPPE
Commission No. Seal Commission No. vca
Notary Public.State of Kori( ) (S"�mission#GG 1"79276
My comm.expires Mar.4,20 2
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