HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
L ._� State of Florida Department of Economic Opportunity
Q , Rebuild Florida Program Permit/ HR 1463
Q u za Ll Building Permit Application
Planning and Development Services
Building 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: Daphne Anderson
PROPOSED IMPROVEMENT LOCATION:2302 N. 45th St
Address: 2302 N. 45th St Ft Pierce, FL 34946
Property Tax ID#: 1431-801-0093-000-4 Lot No.7
Site Plan Name: HARMONY HEIGHTS NO 4 BLK 9 LOT 7(OR 1304-2714) Block No. 9
Project Name: 12487 Anderson
[DETAILED DESCRIPTION OF WORK:
Replace windows and exterior doors(replacing door slabs only)
New Electrical Meter NSA 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: Sq. Ft. of First Floor: 1389
Cost of Construction: $ 18,150 Utilities: —Sewer _Septic Building Height: 15'
OWNER/LESSEE: CONTRACTOR:
Name Daphne Anderson Name: James Foster
Address:2302 N. 45th St Company:Patriot Response Group
City: Ft Pierce, FL State: Address: 2770 Indian River Blvd#501
Zip Code: 34946 Fax: City: Vero Beach State:FL
Phone No.772-409-7604 Zip Code: 32960 Fax:
E-Mail:daphne4299@ aol.com Phone No 772-559-1119
Fill in fee simple Title Holder on next page(if different E-Mail permitting@ patriotrg.com
from the Owner listed above) State or County License CGC-1526178
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 lkpder or an attorney before commencing work or recording our Notice of Commencement.
e1914
g . Owner/Lesse Contractor as gen of Contra or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Pres nce pr Online Notarization X .Physical Presence or Online Notarization
thli�s day of i 2095 by this_thay of 20Z&1by
tn4_. James Foster
N�r—me of Oerson making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known X OR Pro uce enti €ca �Rn!n TA
Type of Identifi ion Type of€dentification ,o: "P�ey, Notary Public-St t of Florida
Produced L Produced _2 "= commission#V 339233
._
s - My Comm. Expire 5 3 28-2023
'; eFetio��� Banded Th o h
RLI Snsur n
(Signature of Not c St rFL% e of Flor,da (Signature of Notary Public-State LTorida
:° `� ante H 04vey
Commission No. vComm,s�sgd�kla37s33 Commission No. GG339233 (Seal)
xp,res a6+3 ! d�A
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.5/6/20