HomeMy WebLinkAboutBuilding Permit Application All APPLICAB _NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -�f �� 0
Date: �` r / ��Permit Number:
01r.
� n L�L �� R RECEIVED
r� O JUL 2 2 2021
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Building Permit Application St.Lucie County
Planning and Development Services Permltting
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 CCW ,rozy
PERMIT APPLICATION FOR:
PROPOSED]MPROVEMENT LOCATION:
Address: 8452 Muirfield Way Port St Lucie, FI 34986
Property Tax ID#: 3328-802-0025-000-9 Lot No.22
Site Plan Name: Block No. 27
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace side garage entry door with new fiberglass impact prehung 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:$ 1175.0 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJohn Parkinson Name: Paul Verga
Address:8452 Muirfield Way Company:Versatile Improvements&Remodeling
City: Port St Lucie State:_ Address:2006 SW Certosa Rd
Zip Code: 34986 Fax: City: Port St Llucie State:FI
Phone No.772 807 2669 Zip Code: 34953 Fax: 772 878 2997
E-Mail: Phone No 772 215 6040
Fill in fee simple Title Holder on next page(if different E-Mailvirfl@hotmail.com
from the Owner listed above) State or County License CRC 1330679
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 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 C unty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with der or angtoiney before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/C tractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA -- I STATE OF FLORIDA
COUNTY OF Sf Gi 2 COUNTY OF
Syuern to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
r h sical Pres or Online Notarization Physical Presence or Online Notarization
this ay of n A 2a20T&y ;;?, this day of 2020 by
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Name of person making sta a ent. Name of person making statement.
Personally Know OR Produced Identification Personally Known OR Produced Identification
Type of Identific ion ®� Type of Identification
Produced -i"� e Produced
(Signature of No e` AUDREY B.NU v1Pl TREY (Signature of Notary Public-State of Florida)
_• MY COMMISSN ' G 300817
Commission No. _'*: i *` ell Commission No. (Seal)
EXPIRES: rcn ,2023
odF�4 Bonded"fhru Notary Public UnderAters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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