HomeMy WebLinkAboutBuilding permit app All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: q Permit Number:
Building Permit Appli ,
lanning and Development Servicesuilding and Code Regulation Division
Cq eoCo nopa;B ®nt
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 13509 NW Wax Myrtle Trl
Property Tax ID#: 4436-601-0023-000-3 Lot No.
Site Plan Name: Block No.
Project Name: William Lambert
DETAILED DESCRIPTION QF WORK':'
Installation of hurricane protection products on (3)openings
1,CO.NSTR,,UCTIO-N.INFORMA-TION:
Additional work to be performed under this permit—check all that apply:
_Mechanical —,Gas Tank _Gas Piping X Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 9,459.01 Utilities: —Sewer —Septic Building Height:
OVSW ER/LESSEE: CONTRACTOR ;
Name William Lambert Name:Noreen Rayner;::,;``
Address:13509 NW Wax Myrtle Trl Com P- y:an Storm Smart`of;Southeast FL
City: Palm.City State: FL Address:4047 Okeechobee Blvd Suite 106
Zip;Code:`34990 Fax: City: West Palm Beach State:FL
Phone No.(215)385-1126 Zip Code: 33409 Fax:
E=Mail:lambew@yahoo.com Phone No(561)229-0048
Fill in fee simple Title Holder on next page(if different E-Mail Permitting@stormsmartse.com
from the Owner,,.listed abI ve) State or County License CRC1332755
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF P15C COUNTY OF `I
The fo going instr6y�nent as acknowledged before me The forgoing instrument was acknowledged before me
this day of UC 20X by this ' O day of Ock 20' 0 by
Name of person making statement. Name of person making stat ment.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identif n Type of Identification
Produced L Yesenia Sarmela Produced
NOTARY PUBLIC
STATE OF FLORIDA
_Comm#GG317472
(Signa4rel4l_a�ublic-Stat ridf_ypires (Signatu of Nota Public- ate of F0A a)SHA//V 4i,,Commo. Seal
( ) Commission No. 4�N 2fi1��12 ic���''a;;'d .y
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA IRAIVrRO�$
COUNTER REVIEW REVIEW REVIEW REVIEW REVkF ' S'y 06gi-E-VIE1 �
DATE �rrrOi,IDP�����'�
RECEIVED
DATE
COMPLETED
ev. 2/7/19