HomeMy WebLinkAboutPERMIT -910 JENKINS RD S. LANGELAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/20/2020 Permit Number:---------
Building Permit Application
Planning and Development Services
Residential x Building and Code Regulation Divisi on Commercia I -----------
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462 -1578
PERMIT APPLICATION FOR: SHANE LANGEL
PROPOSED IMPROVEMENT LOCATION:
Address: 910 JENKINS ROAD FORT PIERCE FL
Property Tax ID#: 2407-333-0001-010-8
Site Plan Name : LANGEL RESIDENCE WINDOW REPLACEMENT
Project Name : SHANE LANGEL
I DETAILED DESCRIPTION OF WORK:
REPLACE WINDOWS WITH IMPACT WINDOWS
New Electrical Meter ____ Second Electrical Meter _____ _
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply :
Lot No. ___ _
Block No. __ _
_Mechanical
Electric
Gas Tank _Gas Piping
_Sprinklers
Shutters _Windows/Doors Pond
_Plumbing Generator Roof ____ Pitch
Total Sq . Ft of Construction: _1_80_0 _____ _ Sq. Ft. of First Floor: _1_6_00 ________ _
Cost of Construction: $ _2_,o_o_o ______ _ Utiliti es: Sewer _ Septic Building Height: ___ _
OWNER/LESSEE: CONTRACTOR:
Name SHANE LANGEL Name: PH ILLIP TOBIAS HARTNETT
Address: 910 JENKINS ROAD Company: HARTNETT BUILDING GROUP LLC
City: FT PIERCE FLORIDA State: -Address: 101 AVENUE D
Zip Code: Fax: City : FORT PIERCE State:_F_
Phone No . Zip Code: 34950 Fax: 772 .489.9532
E-Mail : Phone No 772.429.5243
Fill in fee simple Title Holder on next page ( if different E-Mail HBGLLC123@COMCAST.NET
from the Owner listed above) State or County License CBC1253228
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 MORTGAGE COMPANY: _ Not Applicable
Name: NIA Name: NtA
Address: Address :
City: State: --Cit•ri: State: --Zip: Phone Zip: Phone :
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: NtA Name: NIA
Address: Address:
City : City:
Zip: Phone : Zip : Phone:
OWNER/ CONTRACTOR AFFIDVIT : Appl ication 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 cons i de r ation of the granting of this requested permit, I do hereby agree that I w ill, in all respects, perform the work
i n 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
'th I d tt b f . k d. N t' f C t WI en er or an a orney e ore commencing wor or recor mg your o ice o ommencemen .
Signature of Owner I Lessee/Contractor as Agent fo r Owner
~ t/_a,"[:t t
Sign e of Contractor/Licen e Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF STLUCIE
Sworn to (or affirmed) and sub scri bed before me of Sworn to (or affirmed) and subscribed before me of
__ Phys ical Presence or __ Onl i ne Notarization _x _ Physical Presence or __ Online Notarization
this __ day of 2020 by this ~ day of October 2020 by
Ph illi p Tobias Hartnett
Name of person making statement . Name of person making statement.
Personally Known OR Produced Identification Personally Known x OR Produc~;u\JHtrfrrnJJon --
Type of Identification Type of Identification ~,~ s. B,.qki'''" ~~\~ ...... ~~
Produced Produced ~ ~\ARY ... 1>~ ~' .· ·. ~ ~15~ ;: IJ.J· ~f8& • ~ ::-.1: comtn· E:il~ ~ S. = • ..,.., ft" .,oz3 • ,,,,
(Signature of Notary Public-Sta t e of Florida ) (Signature of Notary Public-Stie ~ Fl~9ed3094°1 .:~S
~ ·. v ::.--.;.~
Commission No . (Seal) Co m mission No . GG -309407 ~d'l; ... R681-~··o~ ~"'Al 'J'"f • • • • ~v,,~"
"'''''' 9 F ·•\'''"
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev . ':J/6/LU