HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: 12/18/2020 Permit Number:
`fir LLLLL RECEIVES
Building Permit Application
Planning and Development Services Permitting Department
St.Lucie County
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:Window/Door
PROPOSED IMPROVEMENT LOCATION:
Address: 2703 Juanita Avenue, Fort Pierce, FL 34946
Property Tax ID#: 1432-801-0048-000-7/Section So 1/2 of 32 Township, 34 South, Range 40 East Lot No. 140
Site Plan Name: Sheraton Plaza Block No.
Project Name: Juanita Avenue Window Replacement
DETAILED DESCRIPTION OF WORK:
Remove and replace windows with impact rated 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 X Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ �� Utilities: —Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Fort Pierce Housing Authority Name:Lionel J Dunbar
Address:511 Orange Avenue Company:Black Street Enterprises, LLC
City: Fort Pierce State: FL Address:535 NW Mercantile Place, Unit 107
Zip Code: 34950 Fax: City: Port Saint Lucie State:FL
Phone No.772.461.4551 Zip Code: 34986 Fax: 772.344.8203
E-Mail:ed.kiley@cfpha.org Phone No 772.344.8201
Fill in fee simple Title Holder on next page(if different E-Mail psl@bsefl.com
from the Owner listed above) State or County License CGC1509119
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: 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 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.
66�
Signature of Owner/L s e/Contractor as Agent for Owner Sign ture of ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
CO U NTY OF sairt Lme COUNTY OF Saint Lucie
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 Notari i
this 18tn day of December 2020 this 18th day of December 2020 b
Edgar Kiley = Lionel J.Dunbar ENIV
IN.Ir
Name of person making statement. Name of person making statement.
Mf A
Personally Known x OR Produced Ide iff Ai z Personally Known x OR Produced Ident ci Il.
�3 Type of Identification
Type of Identification � m
Prod Wed ME Prod ce
N
(Signat re of Notary Public-State of Florida a (Signature of Notary Public-State of Florida) "
Commission No. GG969365 (Se ) Commission No. GG969365 (Se )
REVIEWS ! FRONT ZONING SUPERVISOR PLANS VEGETATION j SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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