HomeMy WebLinkAboutPontorno permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
G U 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:wiOdOWS
PROPOSED IMPROVEMENT LOCATION:
Address: 4225 n. Highway A1A Fort Pierce FL
Property Tax I D #: 1423-120-0012-180-3 Lot No.
Site Plan Name: Block No.
Project Name: Pontorno Residence
DETAILED DESCRIPTION OF WORK:
Replacing 5 windows
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 T Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 1234 Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Namedohn Pon torno _ Name:Tyler Pahl
Address:4225 N highway Al Company: Pahl Construction INc
City: Fort Pierce State: _ Address: 16186 78th Dr N
Zip Code: 349.49 Fax: City: Palm Beach Gardens State: FL
Phone No. Zip Code: 33418 Fax:
E -Mail: Phone No561-339-5564
Fill in fee simple Title Holder on next page ( if different E-Mailcourtney.pahlconst@gmail.com
from the Owner listed above) State or County License CBC1261041
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
Name:
MORTGAGE COMPANY: Not Applicable
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 attorney before commencing work or recording Notice of Commencement.
Rev. 5/6/20
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Rev. 5/6/20