HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
^I 2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 6016 Spruce Dr,Ft Pierce,FL 34982
Property Tax ID t1:3402-610-0437-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Kurt&Barbara Ellmers
DETAILED DESCRIPTION OF WORK:
Replacement 11 Windows and 1 Doors Im 0. f Kc4ror ;
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: $21,500 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameKurt& Barbara Ellmers Name:Stephen Lambert
Address:6016 Spruce Dr Company:Newsouth Window Solutions
City: Ft Pierce State:FL Address:2526 Okeechobee Blvd.
Zip Code: 34982 Fax: City: West Palm Beach State:FL
Phone No.772-260-7692 Zip Code:33409 Fax:561478-4100
E-Mall: Phone No 561-712-9000
Fill In fee simple Title Holder on next page(If different E-Mailper;its-wbp(a)newsouthwindow.com
from the Owner listed above) State or County License SCC131151763
If value of construction Is 2500 or more,a RECORDED Notice of[ommencemem Is required.
If value of HAVC Is$7,500 or more,a RECORDED Notice of Commencement Is required.
pp MORTGAGE COMPANY: _Not Applicable
DESIGNER ENGINEER: NotA livable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting ofthis requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory usesto another non-residential use
WARNING TO OWNER:Your}allure to Record a Notice of Commencement may result In paying twicefor
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite bef a the first inspection. If you intend to obtain financing, consult
with IeQc1er oran atWney before copurrg—nicing work or recording our No Commencement.
S' of wg$*Lrt@0nntractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FL04 STATE OF FLO$1QA, n 6PpC�
COUNTY OF Y1'� ��LiC1n COUNTY OF •(�
S to(or affirmed)and subscribed before me of Sworn to(or firmed)and subscribed before me of
7pPhysical Presence or_Online Notarization —Physical Presence or_Online Notarization
this day of 1�laV 2021 by this day of �'Ia,v ,2024 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification_� Personally Known�OR Produced Identification
Type of Identification Q� Type of Identification
Pro p d N Produced
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JSIgnature of Notary (Si ature N city Public-St
yy PHILIP G. PEROTTI �y, Notary p bpcSatea Pbr
Commission No. ( : i�=,State pQaIMf(1itla-Notary Public �n der Dubien
S comR is61cn N GG 166547 Commission mI5510n NO. i('NTy Commission GG 1797
My Commission Expires �r E,O�res Ot�2ar2022
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.5/6/20