HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : 03/18/2021 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
1300 Virginia Avenue, Fort Pierce FL 34982
Phone : (772) 462-1553 Fax: (772 ) 462-1578
PERMITAPPLICATION FOR : Window and door replacement
EROPOSED [K4PR.,dV,4WENT , ( OCATION,:
Address : 113 Queens Road , Hutchinson Island , FL 34949
Property Tax ID #: 1423-602-0006-000-2 Lot No. 6
Site Plan Name : McLaughlin Block No . 25
Project Name : McLaughlin
_ .
DETAILED DESCRIPTION OF WORK
Window and door replacement, 12 windows and 3 doors, FPA 8153 .22 14590.2, 16477 . 1 , 16520. 11 30505.3
New Electrical Meter Second Electrical Meter
CONSTRUCTION, [ NFO,RMATION
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 : 2309 Sq . Ft. of First Floor:
Cost of Construction : $ 32000.00 Utilities: _ Sewer _ Septic Building Height :
OWNER%LES5E CONTRACT Oft
t .
Name Richard Mclaughlin Name : Robert Cornetta
Address : 113 Queens Road Company: Coastal Green Energy Solutions, LLC
City: Hutchinson Island , FL State : _ Address : 6710 Benjamin Road , Ste. 200
Zip Code : 34949 Fax: City: Tampa State : FL
Phone No. 772-828-5189 Zip Code : 33634 Fax:
E-Mail :-skydancer4845@yahoo.com Phone No 813-512-6014
Fill in fee simple Title Holder on next page ( if different E-Mail Permitting@coastalgreenenergy.com
from the Owner listed above) State or County License CGC1523579
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.
SUPPLEM•ENTALCON,xTR[1CTION" 1:FEN " AWINFORIV1AT, ION . " " ' `
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 Count yy 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.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF �I \ ` vc_l �_ COUNTY OF LL . 0t
Sworn to (or affirmed) and subscribed before me of S orn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this'" dayof Mu ( tti , 2024 by this` ldayof t: c, 0 , 202t by
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Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced ,y t� ,/� ,
(Signatu e of Notary Pu ic- State of florida e, Si na re of Notar ublic- State f Flor' o "
05�J oga°�`oe g Y 0
Commission No: fr�, ° ee �� \G'1 SL> 9`' )�c�°��°� Commission No. �j���s �Npob
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FRON 1IC�°ca SUPERVISOR PLANS VEGETATION � • • ` " MANGROVE
COUNTE `: SJ REVIEW REVIEW REVIEW W REVIEW