HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
State of Florida Department of Economic Opportunity
O
Rebuild Florida Program Permit/HR 1463
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:Laura Alongo
PROPOSED IMPROVEMENT LOCATION:
Address: 6503 PASO ROBLES BLVD Ft Pierce, FL 34951
Property Tax ID#: 1301-611-0342-000-2 Lot No. 15
Site Plan Name: LAKEWOOD PARK-UNIT 9- BLK 116 LOT 15(MAP 13/01 N) (OR 3998-1387) Block No. 116
Project Name: 429AALONGO
fDETAILED DESCRIPTION OF WORK:
_Replace windows, exterior doors and sliding olass doors
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 x Windows/Doors Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 21.150 Utilities: _Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name LAURA ALONGO Name: .lames Foster
Address: 6503 PASO ROBLES BLVD Company:Patriot Response Group
City: FT PIERCE State: FL Address: 2770 Indian River Blvd#501
Zip Code:_,14Ar;1 Fax: City: Vero Beach State:FL
Phone No.—=,554-54Q5 Zip Code: 32960 Fax:
E-Mail: lalon oq 535@gmail.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.
5t. Lucie Count yy 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 attorney before commencing work or recording our Notice of Commencement.
��A a6""r/cp'� (1-2— ;;&&
S�gnat0e of Owner/Le ee/Contractor as Agent for Owner Sign re of Con* actor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF 0kalc)r)sa
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
A Physical Presence or On€ine Notarization Physical Presence or Online Notarization
this day of '� 20* by this�day of April NN by
� d�rbs —Al n y)!k� _ James Foster
Name of person making stag Name of person making statement.
Personally Known OR Produced Identification_ Personatly Known X OR Produced Iden-tificatinn
Type of Iden j�fication Type of Identification ff CAROL A PORTAL
Produced Pro ced �`'.�Y'P�'o- ary Public-State of Flord
Commission#GG33S233
My Comm. Expires o5.28-2 2
E r,%6 Through
(Signa#u otary Public a a iNot ry Publm State of Kroh ( nature of Notary Pu lic l!e of Florida) RLI Insurance
Vance H Olvey
Commission No. Ojaja mmrssion HH 037633 C mission No. GG339233 (Seal)
EKpaes m3W2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.516/20