HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �7 f/_7 �.I Permit Number: v G
l Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 5061 N.A1A Bldg.A#305 Ft.Pierce, FI.34949
Property Tax ID#: 1414-601-0015-000-7 Lot No.
Site Plan Name: 1C"/Y1 MQ.Ly)(- /� ` Block No.
Project Name: ke-le lQC G J 1 d i �Ld V[QSS pc or-s
DETAILED DESCRIPTION OF WORK:_
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Furnish and install one new set of insulated sliding glass doors-owner has shutters
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 I/Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq.Ft of Construction:. Sq.Ft.of First Floor:
Cost of Construction:$ 4,800.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: .CONTRACTOR':
Name Enedina Alamo Name: Chris Milliman
Address: 5061 N.A1A Bldg.A#305 Company-Window Sales&Service of VEro,Inc.
City: Ft.Pierce State:_ Address: 775 90th Ave.
Zip Code.32968 Fax: None City: Vero Beach State: FI.
Phone No. 305-773-9713 Zip Code: 32968 Fax: None
E-Mail: Phone No 772-567-3125
Fill in fee simple Title Holder on next page(if different E-Mail windowsales@bellsouth.net
from the Owner listed above) State or County License 30589
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:
I DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Frank Farl Py ( Name:
Address: RRflh N tiS 1 Ste 2 Address:
City: Sebastian_ ------State:_Fl City: State:
( Zip: 32958 Phone 772-589-6229 Zip: Phone:
j FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: —Not Applicable
Name: Name:
j Address: Address:
i City: Citv:
I 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 your Notice of Commencement.__
f ----- --- T -- — —l
i Signature of Owner Lessee Contractor as Agent for Owner I Signaturactorolder
i g / / P.
I STATE OF FLORIDA p - — STATE OF FL /�
- COUNTY OF /)r�4in ,C:✓er COUNTY OF 'J6b l 01\ff_ZC___
r Sw to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
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Presence or Online Notarization _ P ysical Prese c r Online Notarization
I this JLk day of T zLn 2;U 24-.10 by this day of 2021 by
n eA11 na- Pic 1 am 1,7
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification ! Personally Known OR Produced Identification j
e of Identific do Type of Id is lion
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TARY PUBLIC
Signature of Notary Public-State of Florida) Signature of Not Pu ic-State of Fl rida) oQ
ATE OF FLORIDA
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Commission No. y 9� D / (Seall Commission No. (Seal)
EA -t xpires 3/13/2023
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?° j ��, Th&a AbWJF 4tate f FI�tlBE REVIEW REVIEW REVIEW REVIEW
i I DATE Commission N HH UT
I RECEIVE
j I ~°f F`''—My_Comm. Tres De 15,2024
DATE I
( COMPLE
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