HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATI(AfnE ACCEPTED
Date: 6/24/21 Permit Number:
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: Windows
PROPOSED IMPROVEMENT LOCATION:
. 1107 S 33rd St Ft. Pierce FI. 34947
Property Tax ID #: 2417-214-0007-0000-2
Site Plan Name:
Project Name: MLK Property Holdings LLC
DETAILED DESCRIPTION OF WORK:
Remove And Replace Existing Windows On North, South And West Sides Of Residence
New Electrical Meter Second Electrical Meter
Lot No.
Block No.
CONSTRUCTION INFORMATION: I
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: 1246 Sq. Ft. of First Floor: 1246
Cost of Construction: $ 4800 Utilities: _ Sewer _ Septic
Building Height: 8 ft
OWNER/LESSEE:
CONTRACTOR:
Name MLK Property Holdings LLC
Name:Darweshi Roberts
Address:1306 S 14th Cir
Company: D Roberts Construction
City: Ft. Pierce Florida State: _
Zip Code: 34982 Fax:
Phone No.772.216.9176
Address:2009 SE Madison St
City: Stuart State: FI
Zip Code: 34997 Fax:
Phone No772.205.5410
E-Mail:Ramesh692@aoi.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Darweshi@drobertscd.com
State or County License CGC1525915
If value of construction is 2500 or more, a KECUKUtu Notice oT tommencement is requireu.
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 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.
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Sign a ure -Contractor/License Holder
Sig a ure of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF I`( a,+kn
COUNTY OF ei o'f+
Sw rn to (or affirmed) and subscribed before me of
Sw rn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this L+ day of 3uiq I 29?Tby
this 1S* day of ::5—LANy , may
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification _A
Personally Known OR Produced Identification �V
Type of Identification
Type of Identification
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Produced �orfdc� �rsv2.5 1 tc er>�Q
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Notary Public - State of Flori
Ja Y'p�-. CHRISTINA ROBERTS
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Commission No.
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