HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 7)
RECEIVED
o MAY 2 7 2021
pD Building Permit Application Permitting Department
Planning and Development Services St.Lucie county
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:JAMES & KAREN GILBERT
-
Address: 263 BIMINI DRIVE, FORT PIERCE, FL 34949
Property Tax ID#. 1425-701-0038-000-5 Lot No.
Site Plan Name: ,Yi-awitS C=yk ,?_y---t Block No.
QY - Y.
Project Name:_Z s ( lKrjr
DETrAILED DESCRIPTIO.(V OF WORK: - -r
INSTALL 2 ACCORDION SHUTTERS
New Electrical Meter Second Electrical Meter
CONSTRIJ`CATIONIVFORMIO � �"� a `
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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:$ S,ZyrL •9� Utilities: —Sewer —Sep tic Building Height:
OW EN RCONTRACTOR t
NameJAMES GILBERT Name:JEFFREY TOLLISON
Address:2663 BIMINI DRIVE Company:LEVINSON BUILT, LLC.
City: FORT PIERCE State: Address:1638 DONNA ROAD
Zip Code: 34949 Fax: City: WEST PALM BEACH State:FL
Phone No.772-468-8559 Zip Code: 33409 Fax: 561-478-0222
E-Mail:JLGX54@HOTMAIL.COM Phone N0561-712-9882
Fill in fee simple Title Holder on next page(if different E-Mail PERMITS@LEVINSONBUILT.COM
from the Owner listed above) State or County LicenseCGC 1512423
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 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 an attorney ore commencing wor or recording our Notice of Commencement.
Signature o wner/Lessee/Contractor as Agent for Owner Signature of Co a /Licen Holder
ST E OF FLO IDA . STATE OF FLORIDA
COUNTY OF ��nn ZPacin COUNTY OF }RAM ?)fooN
Sw7n to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
✓ Physical Presence or Online Notarization vC Ph sical Presence or Online Notarization
this L day of �-i0-�I ,2024 by this day of ./L{QLI 2024 by
ny^a `a1S NOT
Name of person making statement. `oR �0c Name of person making statement.
Personally Known OR Produced Identifi tiou Personally Known OR Produced Identification
Type of Identification „a a o cn Type of Identification a
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Pr uced L Q 3.y Produced a m H
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Signature of No ry Public t e of FI r a) tea,n x N ( ignature of Not+ Public tat of F ri a) y
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Commission No. (Seal) " 6 o N N Commission No. (Seal) o �^
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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