HomeMy WebLinkAbout2751 Tall Pine Window PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/15/2021
NJ�o
0
� r '
L o D' fz -
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential XXXX
PERMIT APPLICATION FOR: Installation Of Impact Window
PROPOSED IMPROVEMENT LOCATION:
Address: 2751 Tall Pine Street, Fort Pierce, FI 34945
Property Tax ID #: 2323-701-0033-000-0 Lot No.
Site Plan Name: Holmes 2751 Tall Pine Street
Project Name: Holmes / Installation of Impact Window over Stained Glass Window
Block No.
DETAILED DESCRIPTION OF WORK:
Installation of one 32" x 32" Impact Picture Window to cover in -place Stained Glass Window
for Hurricane Protection
New Electrical Meter N/A Second Electrical Meter N/A
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: $ 350.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert S. Holmes
Name: Robert S. Holmes
Address: 2751 Tall Pine Street
Company: Gulfstream Building Group, Inc
City: Fort Pierce State: _
Zip Code: 34945 Fax:
Phone No. 772-332-8140
Address: 2751 Tall Pine Street
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No 772-332-8140
E-Mail: sholmes@gulfstreambuildinggroup.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail sholmes@gulfstreambuildinggroup.com
State or County License CGC 1527735
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.
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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which i n conflict with n applicable H r rules, bylaws covenants h m restrict r prohibit h
vu c �s co ct t any app cab a Home Owners Association on u es, by a s or and co a ants that may .est ct o p o b t such
structure. Please consult with your Horne 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 your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF St, Lucie
Sworn to (or affirmed) and subscribed before me of
Physical Presence or xxx Online Notarization
this 1 stn day of March , 202 b
Robert S. Holmes
Name of person making statement.
Personally Known xxx
Type of Identification
Produced
OR Produced Identification
(Signature of Notary Public- State of Florida )
9 / 14 i 2 0 21 Nary PvWC State of Rwft
Commission No. Susan Wilson
My Comrmfton GG 143129
err# Dt*►14=21
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
ev. 51
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
14�
Signature of Contractor/License Holder
STATE of FLORIDA
COUNTY OF St. rude
Sworn to (or affirmed) and subscribed before me of
Physical Presence or xxx Online Notarization
this 15th day of March , 202 by
Robert S. Holmes
Name of person making statement.
Personally Known xxx
Type of Identification
Produced
OR Produced Identification
(Signature of Notary Public- State of Florida )
9/1412021 suss " 0
om mission No. M� �OMMS, GG 14
F3,2
a ft res 0WIAIM1
de
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW I REVIEW
REVIEW
REVIEW