HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: z-I)("h-, Permit Number: _
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercia I -----
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X ------
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 3216 S LAKEVIEW CIR, Unit 5204 Hutchinson Island 34949
Property Tax I D #: 1425-605-0058-000-6
Site Plan Name: ---------------------------
Project Name: Claudia Tejeda Window Project
Lot No. _
Block No. ---
I DETAILED DESCRIPTION OF WORK:
Install 5 bronze sliding glass doors. 3 shall be impact and 2 will be non-impact.
New Electrical Meter Second Electrical Meter _
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
Shutters ~ Windows/Doors
Generator Roof
__ Mechanical
Electric
Gas Tank Pond __ Gas Piping
__ Sprinklers __ Plumbing ____ Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ _1_7,_65_5 _
Sq. Ft. of First Floor: _
Utilities: Sewer __ Septic Building Height: _
OWNER/LESSEE: CONTRACTOR:
Name Tejeda, Claudia Name: Ivan Pineda
Address:3216 S LAKEVIEW CIR, Unit 5204 Company:Affordable Remodeling Services INC.
City: Hutchinson Island State: £!:_ Address: 6805 W commercial blvd #326
Zip Code: 34949 Fax: N/A City: Tamarac State:~
Phone No. 305-898-0176 Zip Code: 33319 Fax:
E-Mail: Phone No 954-707 -6550
Fill in fee simple Title Holder on next page ( if different E_MaiIMBHOMEIMPROVEMENTS2020@GMAIL.COM
from the Owner listed above) State or County LicenseCGC1511271
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.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: ------------------------------- Address: ~::___:__----
City: State:
Zip: Phone _
Name: _
Address: _
City: ---:: State:
Zip: Phone: _
_Not Applicable FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Addres-s-:-------------------
City: ----::-:- _
Zip: Phone: _
BONDING COMPANY:
Name: _
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
with lender or an attorne before commencin work or recordin our Notice of Commencement.
Signature of Owner/ Lessee/Co
STATE OF FL(~~IDA ,
COUNTY OF 0tlo"Vn-o",) STATE OF FLqRIDA
COUNTY OF_.[iL...!....:.I4..:_w_A_:_1-"-'l)c...__ _
Sw~ (or affirmed) and subscribed before me of
Physical Presence or __ Online Notariz.,..· ~"""'~
this )..$ day of".-,_,4j . 202r1 by
j
Name of person mak~nt.
Personally Known OR Produced Identi
Type of Identification
Produced _
Name of person making statement.
Personally Known /o~ Produced Identific
Type of Idel').tification
Produced }-L r? L
(Si a f otary Public- State of Florida)
Commission No. H t-rj t "(/ (fJ (Seal)
(Signature of Notary Public- State of Florida)
Commission No. (;, G q ~ (. C, ~g (Sea
MANGROVE
REVIEW
REVIEWS FRONT
COUNTER
SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW
ZONING
REVIEW
SEA TURTLE
REVIEW
DATE
RECEIVED
DATE
COMPLETED