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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/7/21 Permit Number: State of Florida Department of Economic Opportunity Rebuild Florida Program Permit/ HR 1463 o © 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:Carolyn Payne PROPOSED IMPROVEMENT LOCATION:2701 Langston Drive Address: 2701 Langston Drive Ft Pierce, FL 34946 Property Tax ID#: 1432-806-0064-000-0 Lot No. 196 Site Plan Name: SHERATON PLAZA-UNIT THREE REPLAT LOT 196 Block No. Project Name: 14265 Payne DETAILED DESCRIPTION OF WORK: Replace windows and exterior doors(replacing door slabs only) New Electrical Meter N/A Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit—check all that apply: Mechanical _Gas Tank —Gas Piping _Shutters X Windows/Doors _Pond Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: 1508 Cost of Construction:$ 16,900 Utilities: —Sewer _Septic Building Height: 15, OWNER/LESSEE: CONTRACTOR: Name Carolyn Payne Name: James Foster Address:2701 Langston Drive 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.772-828-5710 Zip Code: 32960 Fax: E-Mail:fpwwhs197960@ 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: DESIGN ERJENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zi p: 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. 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 a"ttorney before commencing work or recording our Notice of Commencement. Signature of O ner/Lessee/ n ractor as Agent for Owner 5ignat of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF Okaloosa Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of —X Physical Presence pr Online Notarization X Physical Presence or Online Notarization this j day of/6j3W.,t" 12020 by this__2 Z day of ❑pril 6-2fl by Q _ James Foster Name of per nn making stastat mont. Name of person making statement. Personally Known OR Produced Identification - i Personally Known Type of Identification Type of identification CAROL A PORTAL Produced koduced :��r°per. Notary Public-State of Fiori a ommission#GG 339233 a� My Comm. Expires 05-28-20 3 %,' orr�op Bonded Through (Sig a eo tary Public- to of F (Signature of Notary P Ru Insurance Notary Pub"C State d Ronda Commission No. 'Vance( owy Commission No. �r,�3g��� (seal) My rommissror,HH 037633 Expres o&30i2024 REVIEWS FR ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.5/5/20