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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercia
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR: Remove & Repalace Entry Door & Transon.
PROPOSED IMPROVEMENT LOCATION:
Address: 7752 Greenbrier Circle, Port St. Lucie Florida 34986
Property Tax ID #: 3322-700-0010-000-0
Site Plan Name:
Project Name: Wilson Residence
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Remove & Repalace front entry door & transom, misc. patches, repairs, paint.
.`**Impact Glass— Door and Transom
New Electrical Meter r_ Second Electrical Meter ^
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
,Mechanical _ Gas Tank __ Gas Piping _ Shutters
Electric _ Plumbing — Sprinklers
Total Sq. Ft of Construction: n/a
Cost of Construction: $ 15,000.00
Generator
Windows/Doors
Roof
Sq. Ft. of First Floor: n/a
Utilities: _ Sewer _ Septic Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
NameJerilyn Wilson (TR)
Name. Yvonne P. Dudley
Address: 7752 Greenbrier Circ, PSL 34986
Company: Villadeita Consrtuction Corp. LLC
City: Port St.Lucie, FLorida State: _
Zip Code: 34986 Fax:
Phone No. 609-865-6043
Address:1425 SE Vfllage Green Drive
City: Port St.Lucie, State: FL
Zip Code: 34952 Fax: 888-869-1058
Phone No 772-201-7363
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Yvonne@villadelta.com
State or County License CRC05881
It 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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.
SigrrAture of wner/ Lessee/Contractor as Agent for Owner
gnat a Contractor/License Holder
STATE OF FLORIDA,-'II
COUNTY OF 3F- Loc,�,e-
STATE OF FLORIDA
COUNTY OF S>*I—'..' C tie-
Swory� to (or affirmed) and subscribed before me of
Physical Presencgg or Online Notarization
this l�k" day of — b(L) QLt', 2620 by
Swor o (or affirmed) and subscribed before me of
V Physical Presence or Online Notarization
this r2b day of Gt rt 11 202by
n✓t'e— P• �
IAIq
Name of person making statement.
Aeorperson making statement.
Personally Known OR Produced Identification
Personally
of Identifi ation
Produced dptgds ) oCQX1S�
T.-on.Type
Type of Ide iPJAtiALBRIDGES
Produced :: CommissW8HH041043
ExpiresSeptember 13,20
(Signature otary Public- State of Florid
otary Public- State of Florida )
/- /- �` Notary Publ
Commission No. G-G ?jZ1010? (S `) 9mycome1
DPW Expires 04!
State of Florida
�f se ion Nb. (Seal)
l2023
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Rev. 5/6/20