HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �" �� _�2� Permit Number:
L f LCC
Building Permit Application
Planning and Development Services V/
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: 8105 Kiawah Trace, Port St Lucie, F1.,34986
Property Tax ID#: 3327-705-0010-000-0 Lot No.LOT 9
Site Plan Name: COLLINS Block No. POD 25
Project Name: Linda Collins
DETAILED DESCRIPTION OF WORK:
Installation of Accordion Shutters to 5 O enin s
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 Windows/Doors Pond
_Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: 376.4 Sq. Ft. of First Floor:
Cost of Construction: $ 8,328 Utilities: sewer Septic Building Height:_
OWNER/LESSEE: ,"".;�su.- CONTRACTOR:
Name Linda Collins N a me:Robert Altino
Address:8105 Kiawah Trace Company:Galeforce Hurricane Shutters
City: Port St Lucie_ State:FL_ Address:1429 SE Villiage Green Drive
Zip Code: 34986 Fax: City: Port St Lucie State:FL
Phone No.772-812-3658 Zip Code:34952 Fax:
E-Mail:lindascicgaol.com Phone No 772-337-6200
Fill in fee simple Title Holder on next page{if different E-Mail galeforcetcggmail.com
from the Owner listed above) State or County License CBC1251430
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 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 att efore commencing work or recording o e o encement.
i n of Owner/Lessee/Contractor as Agent for Owner Sig atu Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAH NT Lu C-1 E COUNTY OF_--SFAI N T LU U E---
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
_✓ Physical Presence or Online Notarization ✓ Phy�sical Presence or Online Notarization
this_M day of 202b'by this 12ay of 2026 by
Name of person making statement. Name of person making statement.
Personally Known_�OR Produced Identification__— Personally Known V/_OR Produced Identification_--_
Type of Identification Type of Identification
Produced------ Produced
(signature of Notes N€IItP**00wo (Signature of Not � IicG 1e
Qc c STATE OF FLORIDA
Commission No. c! SNOTARYPUBLIC
�,.� GG � CommissionNgq -.STATE OFF LOF�$i94�1)
iN E I Expires 9/12/2023 ;S �?Com #GG367483
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