HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : Permit Number:
IL urics R
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
PERMITAPPLICATION FOR : WIr1dow and door replacement
PROP;OSEQ IMPRO EMEN- OCATION:
Address : 111 Queens Road, St. Lucie, FL 34949
Property Tax ID #: 1423-602-0007-000-9 Lot No. 7
Site Plan Name : Fleming Block No . 25
Project Name : Fleming
DETAILED IIESCRIPTIQN OF :GUORK
Window and door replacement, size for size, 12 windows and 1 door, FPA 14590 . 1 , 8153,21 16477 . 11 16477.21 30505.3
New Electrical Meter Second Electrical Meter
CONSTRUCTION' 1 NFC! RIVIATION'
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 : 2251 Sq . Ft. of First Floor:
Cost of Construction : $ 21088.00 Utilities : _ Sewer _ Septic Building Height:
OWNER/LESSEE CONTRACTOR
,
Name Daniel Fleming Name : Robert Cornetta
Address : 111 Queens Road Company: Coastal Green Energy Solutions, LLC
City: Hutchinson Island State : _ Address : 6710 Benjamin Road , Ste. 200
Zip Code : 34949 Fax: City: Tampa State : FL
Phone No. 772-563-3017 Zip Code : 33634 Fax:
E-Mail : ICDouble@gmail .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.
SUFRLEMENTAILtbN5t CTId L( EN! iAi" INEO'RMATtON . =
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 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
COUNTY OF 'I',\ Zvi COUNTY OF ,�\
Sw rn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Presence or _ Online Notarization N Ph sical Presence or Online Notarization
this ltlday of 1"�u�c 202k by this�p day of ,MC C G� 202� 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
�osPoa rya ry�a .
(Signat re of Notary P lic- State of orid yPy �' �'L°aac� e (Signatu of Notary Public- State o FI a ) GO�� �S )�Q�o�
y�� �\ try 1-e\(i �o�a
Commission No. ;0 QaO' Commission No. O\ )
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REVIEWS FRONT T1 T6a°a SUPERVISOR PLANS VEGETATION SEA r Eof E MANGROVE
COUNTE REVIEW REVIEW REVIEW REV ^rW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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