HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Gam!
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Window/Door Replacement 1
PROPOSED IMPROVEMENT LOCATION:
Address: 1068 NETTLES BLVD
Property Tax ID #: 4502-501-1255-000-0 Lot No.
Site Plan Name: NETTLES ISLAND INC. A CONDO -SECTION II PARCEL 1068 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 4135-2079) Block No,
Project Name: Morales
DETAILED DESCRIPTION OF WORK:
Replacement Windows/Sliding Glass Door- 20 openings (impact glass)
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: $ 21,445.00 Utilities: —Sewer _ Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Sunset Dream Homes LLC (Mickey/Gladys Morales) Name: Jonathan Starratt
Address: 17440 NW 82nd CT Company: White Aluminum
City: Hialeah State: Address: 2880 SW 42nd Avenue
Zip Code: 33015 Fax: City: Palm City State: FL
Phone No. 786-413-6110 Zip Code: 34990 Fax:
E-Mail: mickey@easternrail.net Phone No 772-692-0090
Fill in fee simple Title Holder on next page ( if different E-Mail astaples@whitealuminum.com
from the Owner listed above) State or County License CGC 1523855
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:
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLEHOLDER:
x Not Applicable
State: FL
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
-
x Not Applicable
State:
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 confliu 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 attorney before commencing work or recording our Notice of Commencement.
G Z
Signature of Own esse ac ❑r s Agent for Owner Signature of Contrac /Lice Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF COUNTY OF IY\a6 V
Sw n to (or affirmed) and subscribed before me of
Physical Pre e r nfine Notarization
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day of 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identificatio
Produced
(Signature aVotary Public- State of Florida )
Commission No.cle
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Sw n to (or affirmed) and subscribed before me of
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Physical P rese nce or Online Notarization
this day of 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signatu of tart' Public --State of Florida ^.y
Commission No.
PLANS i VEGETATION
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