HomeMy WebLinkAboutBuilding Permit Application SUNNI ME III I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : 3/30/2021 Permit Number :
f '
ors.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone : ( 772 ) 4621111, 1553 Fax : ( 772 ) 462 - 1578
PERMIT APPLICATION FOR .
PRPOED lMPRQvEMENT . LOCATI (JN :
Address . 6102 Raintree Trl Fort Pierce , FL 34982
Property Tax ID # : 3402 -610-0367-000-6 Lot No . 15 NIIIIIIIIIII
Site Plan Name : Block No . 83
Project Name : Clark
-DETAILED bESCRIPTI0N OF WORK4
Nm
Replace windows + 1 door size-for-size with impact
New Electrical Meter Second Electrical Meter
. CONSTRUCT ON 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 : $ gqr � Utilities : Sewer _ Septic Building Height :
C W i ERIL S @0 CONTRACTOR . .
Name James Clark Name : Roberto Sanchez
Address % 6102 Raintree Trl Company : The Home Depot
City : Fort Pierce Stater Address : 2455 Paces Ferry Rd
Zip Code : 34982 Fax City : Atlanta State : GA
Phone No . 812 -5254386 Zip Code : 33039 Fax :
& Ma1l6J1mndeb40@gmail . com Phone No 754-224wII
Fill in fee simple Title Holder on next page ( if different & Mail robertosanchezthd@expeditepermit . com
from the Owner listed above ) State or County License CGC1522717
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 .
P .E EI TAL t I S? 7CTI0N 1E 1 LA1l1l 1 IFC i 1111AT QN ,
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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 .
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 before commencing work or recording our Notice of Commencement .
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/ License Holder
STATE OF FLO IDA STATE OF FLOR� D
COUNTY OF A Lt� COUNTY OF i
Sworn to ( or affirmed ) and subscribed before me of Sworn to ( or affirmed ) and subscribed before me of
o Physical Presence or Online Notarization ` Physical Presence or Online Notarization
this 1 k day of `( h rw)► , , 202q by this "% I day ofl"�N ..4,r, 1.` , 202T by
Name of person making statement . Name of person making statement .
Aaron Hallich
Personally Known OR P� tpg" LIC Personally Known cA r,°, (� , lick a
Type of Identification ATE OF FLORIDA . Type of Identification � STATE OF FLORIDA
Produced o C®rnm GG951577 Produced
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Er r Expires 112712024 `�� Cr 1 �1�o Expires 1 /27/ 024
( Signature of Notary Public- State of Florida ) ( Signature of Notary Public - State of Florida )
Commission No . �, � L1 ) $ ( Seal ) Commission No . (0 � � �1 � � ( Seal )
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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