HomeMy WebLinkAboutPermit Application - HonzakAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/9/2021
Permit Number:
c r. G
O
Building pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1SS3 Fax: (772) 462-1S78
PERMIT APPLICATION FOR: Replacement Of Door
PROPOSED IMPROVEMENT LOCATION:
Address: 8562 BELFRY PL PORT SAINT LUCIE FL 34986
Property Tax ID #: 3327-701-0043-000-8
Site Plan Name: Honzak, Elaine
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement of Door
FL NOA 22267
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
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 7,140.00
_ Generator
Sq. Ft. of First Floor:
XXX
Lot No. 40
Block No.
_ Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR: j
Name Elaine Honzak
Name:Jeffrey Walsh
Address: 8562 BELFRY PL
Company: Liberty Impact Windows and Doors
City: PORT SAINT LUCIE State: _
Zip Code: 34986 Fax:
Phone No. 914-649-0086
Address:257 SE Monterey Road East
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No772-444-7112
E-Mail: N/A
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail libertypermitting@gmail.com
State or County LicenseCGC 1528257
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/E
NGINEER: Name: X Not Applicable
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name: Not Applicable
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFI
MORTGAGE COMPANY: ( Not Applicable
Name:
Address:
City: State:
Zip: _________ Phone:
BONDING COMPANY:
A 1' b
Name: -tom Pp Ica le
Address:
City:
Ztp: __ ._ Phone:
DVIT: 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 re
structure. Please consult with your Home Owners Association and review our deed for an restrictions which may apply.
y y y strict or prohibit such
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the wok
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE RE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER ATT RNEY BEFORE RECORDING YOUR NOTICE OF COMM
Signature
as Agent for Owner Signature of
STATE OF FLORIO
COUNTY OF___ l� (► I /
The f oing instr ent was acknowledged before me
this day of � ` 204 I by
Name of person mak" statement.
Personally Known __�_;�'r OR Produced Identification
Type of Identification
Produced
(Signature o Notary Public-
-7
Commission No.
.r' NN uaic State of Florida
St�nie Spurtin
My Commusron HH 057731
e, R Expires 10/27/2024
REVIEWS I FRONT I ZONING
COUNTER , REVIEW
RECEIVED
Holder
STATE OF FLORIDA'
COUNTY OF
The oing in ent was a owledi d before me
this day of tC 2n by
Name of person ma ' g statement.
Personally Known _ OR Produced Identification
Type of Identification
Produced
SUPERVISOR PLANS
REVIEW REVIEW
4qf Notary Public-
n No.
VEGETATION
REVIEW
4XIChiIn
: !of Florida) �1
FN""'r'"4bNc State of Florida
Stephanie Spurtin
My Comm�saron HH 057731
aw a
REVIEW I REVIEW