HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
ca Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 4624553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 425 S Naranja Avenue, Port St. Lucie, FL 34983
Property Tax ID #: 3419-530-0115-000-2
Site Plan Name: Carrie Mathias
Project Name:
Lot No. 18
Block No. 35
DETAILED DESCRIPTION OF WORK:
r
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: $ �b1Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Carrie Mathias
Name: Scott Berman
Company: Florida Window & Door
Address: 425 S Naranja Avenue
Address: 1125 N Dixie Highway
City: Port St, Lucie State: _
Zip Code: 34983 Fax:
Phone No. 954-278-5831
City: Lake Worth State: FL
Zip Code: 33460 Fax:
Phone No 561-340-4300
mathias.carrie2024@gmail.com
E-Mail: @9
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail howard@floridawindowanddoor.com
State or County License 28576
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.
SUPPLEIUIEll-vNTAL CIDNIV STRUCTI0 LIEN LA�I 1NIt�RMATIC?I�.
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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 Contr ens
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF�I rn 3eeic h
COUNTY OF Paim Beach
Sworn to (or affirmed) and subscribed before me of
S orn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Prese ce or Online Notarization
t his � day of A Piz I I _J
arj2t MN
th � day of _, 2828 by
Carrie Mathias
Scott Berman s .
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
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Personally Known x OR Produced Identificatio
Type of Iden ification
Typ of Identification X K C o
Produced C�Q1veeskeyl �
Pr du _ gU6 o
0 3 D-o
03.=C
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(Signature of Notar P rr* tate of MQW§E NELSON
(Sign ure of Notary 0 t'ric- State of Florida) 0 3 U
MY COMMISSION # GG 932266
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Commission No. CIRES(nber 141 2023
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Commission No. (Seal) T
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