HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/20/2020 Permit Number:
1� L (IL
L U K ` `' R _ Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 27 Lake Vista TRL Apt 204, Port St Lucie, FL 34952
Property Tax ID #: 3422-500-0375-000-9 Lot No.
Site Plan Name: VISTA ST LUCIE BLDG 27 UNIT 204 Block No.
Project Name: Diaz Shutters
DETAILED DESCRIPTION OF WORK:
Install Accordion Shutter- 1 opening- rear lanai
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: $ ��q Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Patria Diaz
Name: Jonathan Starratt
Address: 27 Lake Vista TRL Apt 204
Company: White Aluminum
City: Port St Lucie State:
Address: 2880 SW 42nd Ave
City: Palm City State: FL
Zip Code: 34952 Fax:
Phone No. 772-708-1417
Zip Code: 34990 Fax: 772-877-2735
E-Mail:
Phone No 772-212-1400
Fill in fee simple Title Holder on next page ( if different
E-Mail astaples@whitealuminum.com
State or County License CGC 1523855
is required.
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of Commencement
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:'e_C,t& CLC Name:
i
Address: 2. !�, Q h J Address:
City: State: C- City:
—State.-
Zip: 32,9!s- _Phone '-7-)Z-202-00[ 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 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.
G�
Signature of Owner Lesse /Contractor as Agent for Owner
Signature of Contracto /Licen 4 Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Martin
COUNTY OF Mann
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this .P_j day of July , 2020 by
x Physical Presence or Online Notarization
this.43 day of July 2020 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
Prod ced
Produced
1
( ignature Notary Public- State of FI rida)
(Signature of lotary Public- State of Flo da )
Commission No. Gczssicz (Seal)
Commission No. GG23510= (Seal)
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