HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Z LU CWL.
P 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: Door Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 5854 MOSS CT 10C
Property Tax ID #. 3410-507-0039-000-6 Lot No.
Site Plan Name: THE GROVE CONDOMINIUM -SECTION ONE- UNIT 10C (OR 3782-2804; 4127-897) Block No.
Project Name: DeChristopher
DETAILED DESCRIPTION OF WORK:
Replacement SGD -1 opening
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 u Pond
Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4000.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William DeChristopher (TR) Name: ,Jonathan Starratt
Address: 5848 Honeybell CT Unit 39D Company: White Aluminum
City: Fort Pierce, FL State: Address: 2933 SE Gran Parkway
Zip Code: 34982 Fax: City: Stuart State: FL
Phone No. 912-481-7149 Zip Code: 34997 Fax:
E-Mail: Phone No 772-692-0090
Fill in fee simple Title Holder on next page ( if different E-Mail astaples@whitealuminum.com
from the Owner listed above) 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:
Name: Seaside Engineers Name:
Add ress:42b5sothct Address:
City. Vero Beach State: FL City:
Zip: 32967 Phone 772-202-8008 Zip: Phone:_
FEE SIMPLE TITLE HOLDER:
Name:
Address:_
City:
Zip: Phone:_
x Not Applicable
BONDING COMPANY
Name:
Address:
City:
Zip: Phone:
x Not Applicable
State:
x Not Applicable
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 attornev before commencinw. work or recording vour Notice of Commencement.
Signature of Owner/
(Assee/7tractor as Agent for Owner Signature of Contractor�cen
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF Martin
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 15 day of December , 2020 by
Jonathan Slarratt
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
I Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
I this 15 day of December 2020 by
Jonathan Slarratt
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of 4btary Public- t�� d
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