HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7i28/2020 Permit Number:
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I; _w Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITAPPLICATION FOR:DAVID MENZ
Address: 13974 GARZA COURT
Property Tax ID #: 1306-413-0003-000-1
Site Plan Name:
Project Name:
Window replacement, size for size -11 Windows, FPA#: 15780.9
New Electrical Meter Second Electrical
Additional work to
be performed under
this permit —check
all that apply:
_Mechanical
_Gas Tank
_Gas Piping
_Shutters
_Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 9493
_Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
Name
Name: Robert Cornetta
Address:
Company: Coastal Green Energy Solutions
City:
State: _
Address: 6710 Benjamin Rd #200
City: Tampa State: FL
Zip Code: Fax:
Phone No.
Zip Code: 33634 Fax:
Phone No 813-512-6014
E-Mail:
Fill in fee simple
Title Holder on next page ( if different
E-Mail Permitting@coastalgreenenergy.com
State or County License CGC1523579
from the Owner listed above)
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
Name:
Applicable
MORTGAGE COMPANY:
Name:
_Not Applicable
Address:
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _Not
Name:
Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 concurYency 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 your Notice of Commencement.
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Signature of Owner/ L see/Contractor as Agent for Owner
Signatu�tr��r/License Holder
STATE OF FL RIDA
STATE OF FLORIDA
COUNTYOF�U.\v\.t�v.t\e
COUNTY OF S�\V\,� LAIC\e.,
Sw n to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
/� Physical Presence or Online Notarization
� Physical Presence or _Online Notarization
this �i�day of ��\= 2020 by
this ��day of U� 2020 by
\wY�C,Y � (o�(v� it'c�,
�A�(1QN � C a`C J�l'I�G`
Name of person making statement.
Name of person making statement.
Personally Known �_ OR Produced Identification
Personally Known � OR Produced Identification
Type of Identification
Type of Identification
uced
Produ�cepd
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(' a of Notary Public- St of Florida) � �
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