HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/25/2021 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: Impact Windows/ Door
PROPOSED IMPROVEMENT LOCATION:
Address: 5107 Indian Bend Lane
Property Tax ID #: 1312-800-0021-000-0 Lot No-190
Site Plan Name: Haukap Residence Block No.
Project Name: Haukap Residence
DETAILED DESCRIPTION OF WORK:
remove existing windows & door replace with impact windows & door
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: $ Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Robert Haukap Name: Devin Wheaton
Address.5107 Indian Bend Lane Company:Treasure Coast General Contractors
City: Fort Pierce State: Address:1720 Copenhaver Road
Zip Code: 34951 Fax: City: Fort Pierce State: FL
Phone No. Zip Code: 34945 Fax:
E-Mail: Phone N0772.201.5426
Fill in fee simple Title Holder on next page ( if different E-Mailtreasurecoastgc@gmail.com
from the Owner listed above) State or County License CGC1 526542
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:
Name:_
Address:
City:
Zip:
Phone
Not Applicable
State
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:,
Not Applicable
State:
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'orlan attornev before commencing work or recording yoy'"o ce of Corr).[nencement.
Signature of7Twner/ Lessee/Contractor as Agent for Owner ' Signature of Contractor/License FTolder
STATE OF FLORIDA STATE OF FLORIDA c
COUNTY OF COUNTY OF
savor (or affirmed) and subscribed before me of
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this �tiday of 2020 by
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Name of person making statement.
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Sworn or affirmed) and subscribed before me of
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this ■2'f �"fiay of 2020 by
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,�►� ► Notary Public State of brlda * Notary PuWlc State
Commission No. }° I) Colleen Sue Hayes Commi ion No. i�Calieen Sue May
VIJMy Commission GG 2 7729 My Commission GC
Expires 03/15/2023 Expires 0311612023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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DATE l
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DATE
COMPLETED