HomeMy WebLinkAboutPermit Application - Portofino ShoresAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/24/2021 Permit Number:
L? 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:Replacement Of Doors With Impact
PROPOSED IMPROVEMENT LOCATION:
Address: 5720 Spanish River Rd Fort Pierce, FL 34951
Property Tax ID #: 1312-501-0020-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Portofino Shores
DETAILED DESCRIPTION OF WORK:
Replacment of Doors with Impact
FL NOA 22527
FL NOA 20-1118.03
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: Sq. Ft. of First Floor:
Cost of Construction: $ 26.028.00 Utilities: _ Sewer _ Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Portofino Shores POA
Name: Jeffrey Walsh
Address:5720 Spanish River Rd
Company: Liberty Impact Windows & Doors
City: Fort Pierce State: T"L
Zip Code: 34951 Fax:
Phone No.772-460-1660
Address:257 SE Monterey Rd
City: Stuart State: FL
Zip Code: 34994 Fax: N/A
Phone No772-444-7112
E-Mail: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail info@libertyimpactwindows.com
State or County License CGC1 528257
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
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phon
LIEN LAW INFORM pITA N:
X Not Applicable
State:
FEE SIMPLE TITLE HOLDER:
Name: _Not Applicable
Address:
rit„•
Zip: Phone:
OWNER/ CONTRACTOR AFFID
MORTGAGE COMPANY: _( Not Applicable
R I_.--_
IVGIIIC:
Address:
City:
Zip: Phone: State: —
BONDING COMPANY: Not Applicable
Name:
Address:
City:
ZIP: —__ Phone:
VIT. Application is hereby made to obtain a permit to do the work and installationindicated.
I certify that no work or installation has commenced prior to the issuance of a permit. \as
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.
I .
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE RE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER ATT RNEY BEFORE RECORDING YOUR POTICE OF COMM
Signature
as Agent for Owner
STATE OF F[)
COUNTY OF LOR7_ (_ f j
The ing instr was acknowledged before me
thisday of 20j by
Name of eron makin statement.
Personally Known _ , OR Produced Identification
Type of Identification
Produced
(Signatur of_Notary Public- State of Florida )
Commission No.
uState of Fkxba
Stephaniee Spurtin
u.. r•..........a,nn uu n577'i
Signature of
/License Holder
STATE OF FLORIDk'
COUNTY OF I i ^ ( �'
The.f in ginst,7m nt�` acknowledg before me
thi&da of 20� by
Name�onmatement.
Personally Known OR Produced Identification
Type of Identification
Produced
Can
(Signature of Notary Public- State f Florida )
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