HomeMy WebLinkAboutBuiilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
UIFM
Vr
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 382 S Narania AVE Port St Lucie FL 34983
Property Tax ID #:3419-530-0024-000-7
Site Plan Name:
Project Name: Robert or Helen Davis
Lot No.24
Block No. 32
DETAILED DESCRIPTION OF WORK: I
Install 14 Impact windows and 6 Doors
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:
Cost of Construction: $ 68,516
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameRobert or Helen Davis
Name: Ronald Heath
Address: 382 S Naranja AVE
Company: Max Guard Hurricane Windows LLC
City: Port St Lucie State: FL
Zip Code: 34983 Fax:
Phone No.772-871-6566
Address:2253 Vista Pkwy, Ste 12
City: West Palm Beach State:FL
Zip Code:33411 Fax:
Phone No 561-276-7100
E-Mail: no email
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
E-MailRheath(0,maxguardhurricane.com
State or County License SCC131151738
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.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
NGINEER: Not
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Address:
City: _
Zip: Phone:
State:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 apermit 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 reviewyour 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 undergo! no afuII 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 Ipndar nr an attornev before commencing work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
§ignature of Contractor/License Holder
STATE OF FLORIDA
/«f- "
STATE OF FLORIDA
COUNTY OF0.4
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Swop to (or affirmed) and subscribed before me of
_ Ph ical Presence or ✓ Online Notarization
•X Physical Presence or Online Notarization
this _jI'day of rVQNGllX 2020 by
this j3 day of MNak� 2020 by
H 0,le41% rJ 4i
IRoAOUA Ne4i
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification_
Personally Known %oO'O'OR Produced Identification
Type of Identification
Type of Identification
Produced nil.- Y
Produced _
„ JESSIKA DIAZ
of Notary P �_ a ion N HH 83887
(Signature of Notary _ EiP7FWdlidltlQStsee of Florioe
Commission N HH 83887
'� My COr�.mi_�pion Expires
Commission No. Nov�dtbil/ 18. 2024
/' 'r1` My Commission Expires
o t8, 2024
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