HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 205 Easy St, Fort Pierce, FL 34982
Property Tax ID »:3402-604-0011-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Rickey Spiece
DETAILED DESCRIPTION OF WORK:
2 Doors TM
New Electrical Meter 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 Sc;. Ft of Construction:
Cost of Construction: $ 11,300
Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
NameRickey Spiece
Name: Stephen Lambert
Address:205 Easy St
Company:Newsouth Window Solutions
City: Fort Pierce State: FL.
Zip Code: 34982 Fax:
PhoneNo.630-605-7200
Address:2526 Okeechobee Blvd.
City: West Palm Beach State:FL.
Zip Code:33409 Fax:561478-4100
Phone No 561-712-9000
E-Mail:
FIII In fee simple Title Holder on next page (If different
from the Owner listed above)
E-Mail permits-wbp@newsouthwindow.com
State or County License SCC131151763
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.
MY
DESIGNER ENGINEER:
Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_ 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.
1 certify that no work or installation has commenced prior to the issuance of permit.
St. Lucie County makes no representation that is granting apermit 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 usesto another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twicefor
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 attornev before commencine work or recordine vour NoticeA Commencement.
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Signatur f wner/ Lessee/Contractor as Agent for Owner
STATE F FLO�
COUNTY OF 1���aLGI�
5wor o (or affirmed) and subscribed before me of
Physical Presence- orr Online Notarization
this ay of 2029 by
�:��_�� Name of person eking sta ment.
Personally Known OR Produced Identification
Type of Identification w D
orn.ViAlnd
Commission No.
PHILIP G. PEROTTI
State fSLF*ida-Notary Publi
Commission d GG 166547
My Commission Expires
STATE OF FLO q
COUNTYOF �\'n
Sworn to (or affirmed) and subscribed before me of
Physical Presence r ./ Online Notarization
this � day of , 2020 by
Name of p rson making statement.
Personally Known,Z�R Produced Identification
Type of Identification
Produced
(SSlgnatu of Notary Public- State FI r'd N
or ry Public State of
Commission No. jSeniter Dublen
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