HomeMy WebLinkAboutHALGAS Permit ScanALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2-1-21
C? N r y
F..:: .,.0 R I . D, A •:. r.
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION F•'
AU
Address: 4808 Watersong WAY, Ft. Pierce, FL 34949
Legal Description: WATERSONG PUD PLAT NO. ONE (PB 42-34) LOT 33
Property Tax ID #: 2532-500-0047-000-6
Site Plan Name:
Project Name: Halgas
Setbacks Front Back
Lot No.
Block No.
Right Side: Left Side:
Replace 2 french doors with 2 hurricane impact french doors
❑ HVAC
❑ Electric
II Shutters
❑ Plumbing ❑Sprinklers ❑ Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 7,200
S Ft. of First Floor: _
Utilities:11Sewer []Septic
Name Robert Halgas
Address: 6355 SW Woodham ST
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Janet Milici
U Windows/Doors
Company: Natural Flow, Inc.
Address: 391 NE Baker Rd.
Citv: Stuart
Building Height:
Zip Code: 34994
Phone No. 772-334-1011
E-Mail: janet@naturalflow.net
State: FL
Fax: 772-334-1078
State or County License: SCC 131151263
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
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 nr an attornev before commencine work or recording vour Notice of Commencement.
Signatur of Own / Lessee/Contractor as Agent for Owner
SignatutC�actor/License Holder
STATE O ORIDA
I1��I
STATE OF FLORIDAy I
COUNTY OF t N
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Presence or Online Notarization
Pyday of PC-6QUAy -MT by
this
thissical PJZysical Presence or Online Notarization
day of rC_,5Ayk" ae by
�SGte.-1 Y1� 1 CAzazt
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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
Produced
Produced
A'�
(Signature of Not ry ubli - State of Florida)
Si nature of Nota blic- t e o �rrida otary Public State of Flori
Commission No. 07 5 0 �.9 ► . `S� ry Public State of FIo
�v� 5� 5 � Donna Jajyne Hall
`tom ission No. (�pmm1.t GG 2075
Donna Jayne Hall
My commission GG 207&85
0411512022
j�� Expires 04/15/2022
of R
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Rev. 5/b/20