HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-31-21 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:
PROPOSED IMPROVEMENT LOCATION:
Address: 395 SE Abeto Lane, Port St. Lucie, FL 34983
Property Tax ID#: 3419-S40-0218-000-5 Lot No. 17
Site Plan Name: River Park Unit 5 Block No. 49
Project Name: Homer-Shutters
DETAILED DESCRIPTION OF WORK:
Furnish and install accordion shutters
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping X Shutters _Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4125.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name George Homer Name: Jonathan Starratt
Address:395 SE Abeto Lane Company: White Aluminum &Windows
City: Port St. Lucie State: FL Address: 2933 SE Gran Park Way
Zip Code: 34983 Fax: City: Stuart State: FL
Phone No. 772-212-1400 Zip Code: 34997 Fax:
E-Mail: gscheiner@whitealuminum.com Phone No 772-212-1400
Fill in fee simple Title Holder on next page( if different E-Mail gscheiner@whitealuminum.com —
from the Owner listed above) State or County License CGC1523855
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 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.
Sigrature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA Martin
COUNTY OF
Sworn to(or affirmed)and subscribed before me of XX Physical Presence or Online Notarization
this3lst day of July 2021 by
Name of person making statement.
Personally Known XX OR Produced Identification
Type of Identification Produced
Digitally signed by Greta Scheiner
Greta S c h e m e r Date:2021.08.04 10:56:56-05'00'
(Signature of Notary Public-State of Florida )
Commission I Greta Schemer eal)
< Notary Public
state of Florida
Commit HH020635
Expires 8/16/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21