HomeMy WebLinkAboutBuilding Permit ApplicationAH APPUCABLE INFO MUST BE COMPLETED FOR APPUCATMN TO BE ACCEPTED
Permit Number:
Building Permit Application
Planning and development Services
Building and Code Regulation Division
2300 Virginia Avenue, Ford Pierce FL 34982
Phone: (772) 462-ISS3 fax: (772) 462-1578
Commercial X.
PERMIT APPLICATION FORK,DND0OIVS
I. PROPOSED IMPROVEMENT LOCATION:
Address: 522 PONDEROSA DR.#33B
Property Tax I D #: 3410.507-0130-000-4
Site Plan Name:
Project Name: _.
DETAILED DESCRIPTION OF WORK:
REPLACE WINDOWS WITH 2 VINYL FRAME INSULATED GLASS WINDOWS
WITH EXISTING ACCORDION SHUTTERS
New Electrical Meter Second Electrical Meter
CONSTRICTION INFORMATION:
Additional work to be pi.:.,Tformed
Mechanical
Electric
Gas Tank
__ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1875,00
OW N E R./L ESS E E:
under this permit — check all that apply
Gas Piping
Sprinklers
Shutters
Generator
Residential
Lot No.
Block No.
Windows/Doors Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer � Septic Building Height: .�.
Name,CLIVE GARDNER
Address: 11 FIRIE DR 68
City., DUNDAS ON L911 6Z6 CANADA State: _
Zip Code: _Fax:
Phone No. 772-236-9309
E-Mail:
Fill in fee simp�e Tffle HoWer on next page ('F dffferent
from the 0�vnev fisted above)
CONTRACTOR:
N a m e: MATTH EW MARKS
Company: EAST COAST ALUMINUM
Address:913 EDWARDS RD.
City: FORT PIERCE _ State : F L
Zip Code: 34982 Fax: 772-464-7603
Phone No772-464-7600
E-Mail ECAPINC@HOTMAIL.COM
State or County License24526
0� va�me of construcflon us :2.500 0r move, a RECORDED NOUCe of Commencement is required.
ff va�ue of HAW',. is $7,500 or more,, a RECORDED Notice of Commencement is reqMaredo
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name.- FLORIDA ALUMINUM ENGINEERING Name:
Address: seoi MARINER sr. uzao Address:
City: TAMPA State: FL City: _State:
Zi p 33609 Phone813-374-2403 Zip: Phone: .
FEE SIMPLE TITLE HOLDER: Not Applicable BONUiNG COMPANY.,C3
_Not Applicable
Name: Name:
Address: Address: �
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFMV7: Application is hereby made to obtain a permit to do the work and installation as indicated.
�.ertify 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.
Inconsideration 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-res)idential use
WARNING TO OWNER.: Your faflure 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 hosted on the jobsite before the first inspection. If you intend to obtain financing, consult
with liondpr nr an attorney before commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST
ciE
Sworr� to (or affirmed) and subscribed before me of
Physical presence or Online Notarization
thisP day of Aeffst��e��_, 20211 by
A it IL.0
Name of person making statement.
Personally Known
Type of Identification
Produced
OR Produced Identification
(Signature of Notary Public- State
Commission No.
fi'� I r"� 1% 1
a OTARY PUBLIC
S ATE OF FLORIDA�� GG973640
.s er►n_ en^P4 w
Signature of Contractor/License Holder
STATE OF F
COUNTY 0
ORIDA
Sworto for affirmed and subscribed before me of
Physical Presence or online Notarization
this��day of �L�4�HA4�- 202( by
A 7'-7NL''W M ktix.S
Name of person making statement.
Personally Known
Tx/nA of Ivan#ifiratinn
OR Produced Idir2Mfification