HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
c t_l — - 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:
PROPOSED IMPROVEMENT LOCATION:
Address: 16 LAKE VISTA TRL 101
Property Tax ID #: 3422-500-0211-000-2
Lot No.
Site Plan Name: VISTA ST LUCIE BLDG 16 UNIT 101
Block No.
Project Name: Levesque Shutters
DETAILED DESCRIPTION OF WORK:
Install Accordion Shutters- 6 openings
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:
Name Dennis J Levesque
Name: Jonathan Starratt
Address: 16 Lake Vista TRL Apt 101
Company White Aluminum
City: Port St Lucie State:
Address: 2880 SW 42nd Avenue
Zip Code: 34952 Fax:
City: Palm City
State: FL
Phone No. 772-336-1591
Zip Code: 34990 Fax:
E-Mail:
Phone No 772-692-0090
Fill in fee simple Title Holder on next page ( if different
E-Mail astaples@whitealuminum.com
State or County License CGC 1523855
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 Applicab
Name: Seaside Engineers/Edward Roske
Address: 426e saih cc
City: Vero Beach
Zip: 32967
Phone 772-202-8008
State: FL
MORTGAGE COMPANY: Not Applicable
Name:_
Address:
City:
Zip:
Phone:
State:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City;-
Zip: Phone:
City:
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
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_ attorwv, before commencing work or recordinp- your Notice of�Commencement.
Signature of Ow*r/ Less�V/Contractor as Agent for Owner I Signature of Contrgtor/Lic4 Vse Holder
STATE OF FLORIDA { STATE OF FLORIDA
COUNTY OF COUNTY OF K--\
5w�,,nt o (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Prese a or Online Notarization Physical Presence or Online Notarization
thiday of 2020 by this day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced A n
(Signature of Nihtary Public- State o F
Notary Public State °f Flarida
Commission No. **alo Staples
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REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Personally Known OR Produced Identification
Type of Identification
Produced n _
ature of Notary Public- State of FI
mission No.
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SUPERVISOR PLANS VEGETATION S�A'FDT► r
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