HomeMy WebLinkAboutBuilding permit app All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: C mod'Z4 Permit Number:a�
(]n RECEIVED
p SEP 3 4 2020
Building Permit Application ermitLiude County
Planning and Development Services
Building and Code Regulation Division Commercial Residential YES
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FORMINDOWS REPLACMENT
t?ROP,OSED.(IMPROVEMENT-'LOCATION
J
Address: 5512 PINETREE DR FT PIERCE FL 34982
Property Tax ID#: 3402 602 0283 000 8 Lot No.16
Site Plan Name: Block No. 8
Project Name: JOHNS WINDOW JOB
DETAILED:DESCRIPTION,OF WORK4 - -
WE ARE REPLACING WINDOWS IN ENTIRE HOME ->
New. Electrical Meter Second Electrical Meter
77
CONSTRUCTION INFORM-AT
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:$ l �6 Utilities: Sewer —Septic Building Height:
OINN:ER/LESSEE = = CONTRACTOR:
Name -�JO I' Name:H DEAN ROBERTS
Address: S�JZ- A 0 r z Company:DETAILED ENTERPRISES INC
City: ICY C-e-: State:C Address:565 NW CORNELL AVE
Zip Code: .�V oy2 Fax: City: PSL FL State:FL
Phone No. .7 1f 7 �, �� `� Zip Code: 34983 Fax:
E-Mail: Phone N0772 4750112
Fill in fee simple Title Holder on next page(if different E-Mail deanroberts2009@gmaii.com
from the Owner listed above) State or County License CRC 1331073
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.— pp MORTGAGE COMPANY: _Not Applicable Y.
Name: Name:
Address: 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 clothe 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-attorne `before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORI A STATE OF FLOgLDA
COUNTY OF S . Lac�� COUNTY OF .1c0 .
Sworn to(or affirmed)and subscribed before me of. Sworn to(or affirmed)and subscribed before me of
X Physical Presence or Online Notarization k Physical Pres;�nce or Online'Notarization
this� day of StiP-� .2020 by this 3Cl day.of e Pam- ,2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type.of Identi cation Type of Identification.
Produced N%- L` Produced - L
(Signature of Notary blic-State of Florida ASignature of Not ar§JPu ' c+.3 ,of F on NAMARIEGNENs
6(IVEN5 A M CO GG
�i MARIE MMISSION# 022023
Commission No. �- . ;'' ;try;.. /S 2023
., tr ISSIGN#GG.O:. 46mmission No. EXP*WLceMber18.2026
' ber 10,2020 x ��.,OR Ptq••' Bonded ThN Notary public Under t re
•7i;,•.i .y� t,XPIRES:Iecem - NIN.
Public Und(-fVK1-
REVIEWS FRONT SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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