HomeMy WebLinkAboutBowenPermitAppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
'3J I -"
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial XX Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Glass Room
PROPOSED IMPROVEMENT LOCATION:
Address: 19 Lake Vista TRL Apt 105
Property Tax ID #: 3422-500-0257-000-6
Site Plan Name: VISTA ST LUCIE BLDG 19 UNIT 105
Project Name: Bowen
DETAILED DESCRIPTION OF WORK:
Demo existing screen walls. Install new non -impact glass room -existing lanai. Existing Shutters.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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 Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 7200.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height.
OWNER/LESSEE:
CONTRACTOR:
Name Clifton A Bowen Sr
Name: Jonathan Starratt
Address: 19 Lake Vista TRL Apt 105
Company: White Aluminum
City: Port St Lucie State:
Zip Code: 34952 Fax:
Phone No. 772-323-8660
Address: 2933 SE Gran Parkway
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No 772-692-0090
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail astaples@whitealuminum.com
State or County License CGC 1523855
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: X Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: Seaside Engineers
Name:
Address: 4265 60th ct
Address:
City: State:
City: Vero Beach State: FL
Zip: 32967 Phone 772-202-8008
_
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Name:
Address: Y
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 your Notice of Commencement.
Signature of Owner) sseeJ V,tractor as Agent for Owner Signature of Contractor) cerise Eder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF Martin
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization x Physical Presence or Online Notarization
this 15 day of December 12020 by this 15 day of December 2020 by
Jonathan Starrett Jonathan Starratt
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produce Produced
(Signature of Lary Public- State of Fl
Signature ❑ otary Public- State of Aorida osi❑
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tory public State of Florida
Commission No. GG235102 } �' Act r� � ]5laples
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DATE
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DATE
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ev. 5/6120