HomeMy WebLinkAboutNotorized Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
1- L L, L L L t�
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 FOR: New impact windows, doors,Hardie siding,stucco/stone finish
PROPOSED IMPROVEMENT LOCATION:
Address: 7702 Santa Rosa Parkway Ft. pierce, FI. 34951-1765
Property Tax ID #: 1301-604-0144-000/2
Site Plan Name:
Project Name: Martin and Kimberly Brown
DETAILED DESCRIPTION OF WORK:
Lot No.7
Block No. 11
rcPiaLoe existng winnows win new impact, replace front door and back French doors
Repair as needed existing T1-11 siding, vapor barrier. Install new Hardie planking and window trim
Install stop bead and 2.5 lath with brown coat stucco, finished with stone facing.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
_ Gas Tank
— Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 28,681.00
OWNERAESSEE:
F
ameMartin Brown
ddress.7702 Santa Rosa Parkway
Gas Piping `Shutters �� Windows/Doors
Sprinklers — Generator Roof
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
City. Ft. Pierce State: _
Zip Code. 34951-1765 Fax:
Phone No. 772-519-4251
E-Mail: kimbrown0429@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner fisted above)
CONTRACTOR:
Name:James O. Hamitlon III
Company: Your brother's Keeper LLC
Address:660 NE Ocean Blvd.
City: Stuart
Zip Code: 34996 Fax:
Phone No772-214-8135
E-Maillimh@yourbrotherskeeper.com
State or County License CRC1331087
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.
Pond
Pitch
State: FI
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
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, cc nsug
with lender or an attorney before commencing work or recording our Notice of Commencement.
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Signature of Owner Lessee Contractor as Agent for Owner
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Si ature of Co "' c
/License Holder Q -
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STATE OF FLORIph
COUNTY OF (�,l S..
STATE OF FLORIDA ,
COUNTY O
Swo n to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this .5 tK ay of r. a,r,rJr- 202f by
X Phv5ical Presence or Online Notarization
this day of M� -kk 2 y
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202!
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Name of person making statement. J :g
NaAe of per aking stateWtTnt.
Personally Known OR Produced Identifi tip
Personally Known OR Produced Identification
Type of Identi ion m
Type of Identification
Produced l�
Produced
(Signature of Notary Public- State of Florida) »
(Signature of Notary Public- state of Florida )
Commission No. L--��.Sl� (Seal)
Commission No. (Seal)
REVIEWS FRONT ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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