HomeMy WebLinkAbout27 LAKE VISTAAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 27 LAKE VISTA TRL #105 PORT ST LUCIE, FL
Property Tax ID #: 3422 500 0369 000 4
Site Plan Name:
Project Name: 27 LAKE VISTA TRL
DETAILED DESCRIPTION OF WORK:
Residential X
REMOVE EXISTING MATER BATHTUB AND CONVERT TO SHOWER SAME DRAINAGE.
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
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 8500.
_ Generator
Sq. Ft. of First Floor:
Lot No.
Block No. 27-105
-Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJANETIFRYE
Name:ALBERTO MUNOZ
Address:27 LAKE VISTA TRL
Company: PREMIER PRO PLUMBING CORP
City: PORT ST LUCIE FL State: _
Zip Code: 34952 Fax:
Phone No.
Address: 393 NW STRATFORD LN.
City: PORT ST LUCIE State: FL
Zip Code: 34983 Fax:
Phone N0772 224 9110
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail cobuilders15@gmail.com
State or County License CFC1 428268
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.
SU.PP`` Y ;:
1.�M ENTAL CO ISTI N LI E U to �
aUCTI:C
DESIGNER/ENGINEER. Not Applicable
MORTGAGE COMPANY: Not Applicable
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 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 attomev before commencing work or recordinE vour Notice of-Gommencement.
Rev. 5/b/ZU
Signature of Own / Lessee/Contractor as Agent for Owner
ignature of Contractor/License Holder
STATE OF FLORUDt4
STATE OF FLORIVAt
COUNTY OF r.1 4e,
COUNTY OF -
&S orn to (or affirmed) and subscribed before me of
Physical Presence Online Notarization
S rn to (or affirmed and subscribed before me of
Physical Prese ce Online Notarization
. or
�y
this day of �Gt' , 2020 by
this ay of '2020 by
Name of person making statement.
Name of of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification_
Type of Identific •on
Type of Identifirati n
Produced
Produced lIJ
Si ture of Notar Public- Statdtf i
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
1 1W'7
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/b/ZU