HomeMy WebLinkAboutBuilding Permit Application IAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
0
Building Permit Application
Planning and Development'Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE: � It C
PROPOSED IMPROVEMENT LOCATION: "
Address: 9017 Pumpkin Ridge,Port St Lucie,FL 34986
Property Tax ID#:3322-505-0173-000-1 Lot No. 8 �'
Site Plan Name:. HVi a Block No.
Project Name: Carl &Ellen Huie
FDE7T,Al LE 9.,P.ES,CR1 PTIOXOf WORK
Install Hurricane Protection Products on(2)openings
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping Shutters _Windows/Doors
Electric —Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$$4,568.30 Utilities: —Sewer _Septic Building Height:
OIAlNER/iES•SEE CONTRACTOR: -
NameCarl&Ellen Huie Name:Brian Rist
Address:9017 Pumpkin Ridge Company:Storm Smart Building Systems
City: Port St Lucie State:FL Address:6182 Idlewild St
Zip Code: 34986 Fax: City:Fort Myers State FL
Phone No. Zip Code: 33966 Fax:884-330-8277
E-Mail: Phone No 561-229-0048
Fill in fee simple Title Holder on next page(if different E-Mail m
from the Owner listed above) State or County License CRC056857
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW! 1NFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Add ress: 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 Horne 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 roorns.and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESU T IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF CO CEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRSTINSPECTION. IF Y9 INTE D TO OBI MN NANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI COM E ENT A
Signature of Owner/Lessee Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFPeG COUNTY OF PI3 C
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this?.t.Ldayof_ALkll! ,20ZO by this?_1 dayof 3kA. L_ 'J 20&0by
C Oar I �-hA a. rJ� [w� ---
Name of person making statement. Name of person making statement.
Personally Known R Produced Identification ✓ Personally Known V OR Produced Identification_Y
Type of Identifi Type of Id n ' at n
Produced Produced
—� — —Yesenia Sarzuela
��y Yesenia Sarzuela °��y o NOTARY PUBLIC
NOTARY PUBLIC o STATE
OF FLORIDA
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Comm#GG317472 CE l a xpires 3/28/2023
Commi — �t��lges 3/28/2023 Co on No. (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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