HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/29/2021 Permit Number:
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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:
nrirlracc• 4910 Paleo Pines CIR Fort Pierce, FL 34951
Property Tax ID #: 1312-801-0105-000-6
Site Plan Name:
Project Name: McDonald
FDETAILED DESCRIPTION OF WORK:
Replace 13 non -impact windows size -for -size.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 302
Block No.
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:
Cost of Construction: $ 11358 Utilities: —Sewer _Septic
Building Height:
OWNERAESS`EE:
CONTRACTOR:
Name Aaron McDonald
Name: Roberto Sanchez
Address: 4910 Paleo Pines CIR
Company: The Home Depot
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No. 407-279-2525
Address: 2455 Paces Ferry Rd
City: Atlanta State: GA
Zip Code: 33039 Fax:
Phone No 754-224-2010
E-Mail: aaronamcdonald22@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail robertosanchezthd@expeditepermit.com
State or County License CGC1522717
If value of construction is z5ou or more, a KtLUKUtU IVOLICe of %-UrnrnenLcnicni a icyun cu.
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 anti Instaiiation as inoicatea.
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, 1 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
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WILII IUIIUCI
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORI A
STATE OF FLORIDA
COUNTY OF ��
COUNTY OFF/t��
Swop to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
_ Physical Presence or Online Notarization
Physical Presence or Online Notarization
I/ day of 202V by
this 3,7 day of/,� 202A by
this
Name of person making statement.
Name of person making statement.
Personally Known / OR Prow er( PA?5t"lich
Type of Identification Q NOTARYPDBLIC
STATE OFFLORID
Pr�l6aaftialtich
Type of IdentificationNOTARY PUBLIC
Produced STATE OF FLORIDA
Personally Known / 4EI
Produced
Comm# GG951577
Comm# GG951577
EIS Expires 1/27/2024
Expires 1/27/2024
(Signature of Notary Public- State of Florida )
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
Commission No �__ 5, (Seal)
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