HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. B - 2 c72-1 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential
PERMIT APPLICATION FOR: "-
PROPOSEDPROPOSED IMPROVEMENT LOCATION:
Address: 7688 Charleston Way, Port St Lucie, FL 34986
Property Tax ID #: 3321-801-0028-000-6
Site Plan Name:
Project Name: Mark Mershon
Lot No
Block No.
DETAILED DESCRIPTION OF WORK:
Installation of Hurricane Protection
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical Gas Tank
Electric Plumbing
Total Sq. Ft of Construction: 1391.3
Cost of Construction: $ 13,075.29
Gas Piping Shutters
Sprinklers
Windows/Doors
Generator Roof
Sq. Ft. of First Floor:
Utilities: Sewer Septic Building Height:
Pond
Pitch
OWNER/LESSEE:CONTRACTOR:
Name Mark Mershon
Address: 7688 Charleston Way
City: Port St Lucie
Zip Code: 34986
Phone No 973-900-4969
Fax:
State: FL
E mjmershon@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Robert Altino
Company: Galeforce Hurricane Shutters
Address:1429 SE Villiage Green Drive
City: Port St Lucie
Zip Code: 34952 Fax:
Phone No 772-337-6200
E Me ilgaleforcetc@gmail.com
State FL
State or County License CBC1251430
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of liAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:Address:
City: State:City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 structurewhich 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 poste. a. the jobsite before the first inspection. If you intend to obtain financing, consult
with lend- or a. . orne efore commencing work or recording your Notice of Commencement.
....---e
Signature of Owner/ Lessee/Co—Nactor as Agent for Owner Sig -;ture of actor A 'cense Ho .e r
STATE OF FLORIDA
COUNTY OF SA- I Kl-r i-A-t-c-t 6
STATE OF FLORIDA
COUNTY OF ,-.. A- i N T" 1-1-t C—i_E_
Sworn to (or affirmed) and subscribed before me of
_Nt Physical Presence or _ Online Notarization
this day of 2020* by
Sworn to (or affirmed) and subscribed before me of
V Physical Presence or _ _ Online Notarization
this 14,‘ day of A .....rs t , Ma& by_OaLit _Asujups_.1/4_ ,
2.1
A1 4- i n b
2.1
1.-01-3e,r 4- A\--4-; IA D
Name of person making statement.
Personally Known _I OR Produced Identification_
Type of Identification
Produced
Name of person making statement.
Personally Known I _ OR Produced Identification _
Type of Identification
Produced
At/ i
' 4—..... Ldi... 41.i.—Lie---/'La.... _'
(Signature of Notary P 4, ic- State of Florida l
• v Gat:inane Symons Polio
Commission Noa3(91_48a NOTARY PUBLIC
(Signature of Notary Publi - St. - iof F II:GAMOW Symons Pohle
' NOTARY PUBLIC
Commission No. 6G31.0 ,:;:ir . STAt-4 FLORIDA_
6 STATE OF FLORIDA -leatAl - Conn* GG367483
* Commit GG367483
REVIEWS FRONT
COUNTER
Is .
ZONING
REVIEW
Expires 9/12/2023
SUPERVISOR PLANS
REVIEW REVIEW
VEGETATION
REVIEW
EXplieS
SEA TURTLE
REVIEW
9/1 /2 3
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev. b/b/20