HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �C�
Date: 04/22/2021 Permit Number: 'O
Mr
p ' Building Permit Application
Planning and Development Services
ei ilding and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Exterior Door Replacement
PROPOSED MPROVEm NT LOCATION
Address: 760 Cypress St Port Saint Lucie, FL 34952
Property Tax ID#: 3419-501-0062.000-5 Lot No.6
Site Plan Name: RIVER PARK-UNIT 1 BLK 6 LOT 6 (MAP 34/22S) Block No. .1
Project Name: Cypress project
DETAILED D -5C IPTiON, OF WORK,
Replacement of Side entry to garage door and Back entry to laundry door
I
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New Electrical Meter Second Electrical Meter
CO.NSTRUCTIQN-INFORMAT[ON F
_. .,
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: Sq. Ft. of First Floor:
Cost of Construction: $ 845.00 . Utilities: Sewer —Septic Building Height:
iOWNER/LESSEE CONTRACTOR
Pho h Enterprises LLC Salvatore Raimondi
Name 9. P Name:
ddress:632 SE Starflower Ave Company:Raimondi General Contracting, Inc.
City: Port Saint Lucie State: I�l Address:4737 N Ocean Dr
Zip Code: 34983 Fax: City: Fort Lauderdale State: FL
Phone No.772-343-7005 Zip Code: 33308 Fax:
IE-Mail: Phone No 954-882-7718
Fill in fee simple Title Holder on next page(if different E-Mail sr@srcgc.com
from the Owner listed above) State or County License CGC 1508125
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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
;n 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 saint Lucie COUNTY OF Saint Lucie
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
?t Physical Presence or Online Notarization x Physical Presence or Online Notarization
2nd day of April 2021 by this 2znd day of April 2021 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification x Personally Known OR Produced Identification x
Tl ype of Identification Type of Identification
Pro
ed FL DL P duced FL DL
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( i at re of Notary Publi S ate of Florida (—Signature of Notary Publ'
'"r''7t+,z LASHAHNAINGRAM-RAHMING".
Commission No. "": ( INGRA�4-RAliM) mission No. '+; ;r MYC 1�$�10N#GG275060
i »I W COMM CIN 0 GG 2MIi �P`, EXPIRES:December 20,2022
•'l,�,`.''• Bonded Ttnu Notary PW&UnderwtRers
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REVIEWS FRONT NS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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