HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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: 7359 Reserve Creek Dr Port St Lucie, FL 34986
Property Tax ID #: 3322-601-0026-000-1 Lot No. 6
Site Plan Name: John Hart ; 1�tS-Cry Ciz'.l! VC,1rC,?_J 5 U�u+ l2 _(Mi- o-l8 1 Block No.
Project Name: John Hart
DETAILED DESCRIPTION OF WORK:
Installation of hurricane protection products on (3) openings
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 X Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1� S
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height: 18
OWNER/LESSEE:
CONTRACTOR:
Name John Hart
Name: Noreen Rayner
Address: 7359 Reserve Creek Dr
Company: Storm Smart of Southeast FL
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. (772) 380-6109
Address: 4047 Okeechobee Blvd Suite 106
City: West Palm Beach State: FL
Zip Code: 33409 Fax: (844) 330-8277
Phone No (561) 229-0048
E-Mail: je.hartiii@gmad.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail permitting@stormsmartse.com
State or County License CRC1332755
it value or construction is ZSuu or more, a KLCOKDLD 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: X Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City:
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
vAth lender or an attornev before commencine work or recordinE vour Notice of Commencement.
Sig t e of Owner/ L ss e/Contractor as Agent for Owner
Signa ure of Contra or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF fT. W C ,2
COUNTY OF Pf5C
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this k-)_ day of :JUr.Icr— 12020 by
this j_�_ day of 0 UN _ 2020 by
Jr"W� N-lctti-�-
I-Q aaEL AnY���,
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification `s`
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced %(_ �1�avPp�� ALANGLANZBERG
« * Commisslon # GG 290742
---
"� Explres January
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- Sta RFb Iori itn8udgatNotarySw i.,
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. S/b/ZU