HomeMy WebLinkAboutLombardoPermitAppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
L'17, Lw'LLL -
1 g pp c f Buildin 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: 31 LAKE VISTA TRL 205
Property Tax ID #. 3422-500-0432-000-7 Lot No.
Site Plan Name: VISTA ST LUCIE BLDG 31 UNIT 205 Block No.
Project Name: Lombardo
DETAILED DESCRIPTION OF WORK:
R/R Glass room -existing lanai-2nd floor unit
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 _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3230.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
If
Name Carol A Lombardo & William A Vasiliadis
Name: Jonathan Starratt
Address: 31 Lake Vista TRL Apt 205
Company: White Aluminum
City: Port St Lucie, FL State:
Zip Code: 34952 Fax:
Phone No. 772-446-2431
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
is required.
is required.
If value of construction is 2500 or more, a RECORDED Notice of Commencement
value of HAVC is $7,500 or more, a RECORDED Notice of Commencement
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: x Not Applicable
1 Name: Seaside Engineers/Edward Roske
Name:
Add ress: 4265 6011 a
Address:
City, Vero Beach State: FL
City: State:
Zip. 32967 Phone 772-202-8008
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 contlict 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 our Notice of Commencement.
Signature of Owne r1esslon tractor as Agent for Owner
Signature of Contract f Licen e older
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Martin
COUNTY OF Marty
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 22 day of December , 2020 by
this 22 day of December , 2020 by
Jonathan Starratt
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
ProdiAced
Produced
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