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HomeMy WebLinkAboutBuilding Permit Application All 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: 7003 Sebastian RD Fort Pierce, FL 34951 Property Tax ID#: 1301-614-0145-000-0 Lot No. 10 Site Plan Name: Block No. 162 Project Name: Engle DETAILED DESCRIPTION OF WORK: Replace 12 windows + 1 door size-for-size with impact New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional workto be performed under this permit—check all that apply: Mechanical Gas Tank —Gas Piping _Shutters _Windows/Doors _ Pond _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 18000 Utilities: —Sewer —Septic Building Height: OWNERAESSEE CONTRACTOR: Name Douglas Engle Name:Roberto Sanchez Address:7003 Sebastian RD Company:The Home Depot City: Fort Pierce State:_ Address:2455 Paces Ferry Rd Zip Code: 34951 Fax: City: Atlanta State:GA Phone No.973-462-4270 Zip Code: 33039 Fax: E-Mail:donnabradford03@gmail.com Phone No 754-224-2010 Fill in fee simple Title Holder on next page ( if different E-Mail robertosanchezthd@expeditepermit.com from the Owner listed above) State or County License CGC1522717 If value of construction is 1500 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/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: 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 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 our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORID j STATE OF FLORIDA COUNTY OF COUNTY OF /4l 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/J day of fsst;rk 12020 by this fL day of /4 4 2021 by Name of person making statement. Name of person making statement. Personally Known OR Pr u ed 'A"fica4H Personally Known OR Produced IdAaroi�iCAai9C%_ Type of Identification NOTARY PUBLIC Type of Identification �ott,RY a NOTARY PUBLIC Produced s STATE OF FLORIDA Produced W_'_av�p STATE OF FLORIDA Comm#GG951577E 19 0Fy ��p� Comm#GG951577 I�_2Z1202A (Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of 46rida Commission No./-�5S_%79 (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 516120