HomeMy WebLinkAboutFalter permit app 2SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: 5tate:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:_
Address:
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 attorney before commencine work or recordine vour Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF .i.0 U t
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
'1 Physical Presence or Online Notarization
this day of _ 2020 by
this %_ day of _ o C-- 12020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known ✓gsOR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
mov
(Signature of Notary Public- State of Florida)
(ign re of Notary Public- State of FE�'s Notary Public State
o:
Commission # GG
Commission No. (Seal)
Commission No.w� a�a��glfll) My Comm. Expires o
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
2422
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Planning & Development Services Department
- Building & Regulations Division
Product Review Affidavit
Building Permit # Owners Name (/YU../(Lf i —(i, i{� _ Applicant: �. 11 K:4,Kf)IA ('�7�n�
Product
Opening Design
Pressures
Product Rated
Design Pressure
Manufacturer
Model Number
Product Approval
Number
Glass
Type
Method of Attachment
Windows
Mullions
Fixed Glass
Block Glass
Skylights
Sliding Glass Doors
Swing Type Doors
French Doors
Garage Doors
Hurricane Protection
Root Ventilation
Roofing Material
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(LGu15Y�fa'f U ry
Revised 07122/2014 ovxn S P-NY)bU20 lLIs UXII& CL
C aor% u m
I have reviewed the above components or cladding and I have approved their use in this structure. These products provide adequate resistance to the
wind loads and forces specified by current code provisions.
Name: Signature: seal
Design Prof: Cert. No. Date:
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ) 0 /S / q- C)
Permit Number:
S51ro �CaC
90
9 L W., Ls� t"� Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: CN UC( FOL I}P r
PROPOSED IMPROVEMENT LOCATION: Co„f
Address: 'S4 a Fear s_wti C(s�,,
PropertyTaxlD#:�c�s- �D.�- U���- )- Lot No. o_
Site Plan Name: SCXVa)a n Q CI Uh PLAT -Mnee, Block No. 130_
Project Name: Ci' LAC K. (CoCtr (J S\_ �—_14L,,-feX
I DETAILED DESCRIPTION OF WORK:
s•1�1�1111*.�:��=!`�Ti,�IL+�.1'r19L��ii�1[�= / �JC
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 VdoRoof _ o)V/;;L_ Pitch
Total Sq. Ft of Construction: ;L )h lam. Sq. Ft. of First Floor:
Cost of Construction: $ 8, O b0 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:.
CONTRACTOR:
Name R,i V & Fccj ftr
Name: Kr, r,s
KtVin Qr
Address: ;
Company: KYO� Kor'S-tnAc7i,' 11
CAtaU U
City: 0000 SAL I c.,Ci - State: (:-t.
Address: 6). ,py+to-vit;c. r�cp
{ta-
Zip Code: 5 a- Fax:
City: a(oo. h
State: r�-
Phone No. ulU -215 8109!{
Zip Code: 1a9,11 Fax:
E-Mail: ti )
Phone No N e c.) - bf&
Fill in fee simple Title Holder on next page (if different
E-Mail k_ct�_Q_ iL�'`S�an,Ct� r'�fi-UY1
C0�
from the Owner listed above)
State or County License
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.
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