HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ff/11 / ~ .. ;J..i Permit Number: ________ _
Building Permit Application
Pl anni ng and Development Services
Residential Bu ilding and Code Regu lation Division Commercial ____ _ ------
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 3815 DELAWARE AVE FORT PIERCE FL
Property Tax ID#: 2408-331-0002-010-2
Site Plan Name: REGINA LATTNER-IMPACT WINDOWS & DOORS
Project Name: REGINA LATTNER
I DETAILED DESCRIPTION OF WORK:
REPLACE WINDOWS & DOORS WITH IMPACT
New Electrical Meter ____ Second Electrical Meter ______ (Affidavit required)
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical Gas Tank Shutters
Generator
£Windows /Doors
Roof
Lot No. ___ _
Block No. __ _
Pond
Pitch Electric _Plumbing
_Gas Piping
_Sprinklers ----
Total Sq. Ft of Construction: 2 ·._?>_'l_J_. ___ _ Sq. Ft. of First Floor: __ / ________ _
Cost of Construction: $ _l~Z_,,~i~()()~-----Utilities: Sewer _ Septic Building Height: ___ _
OWNER/LESSEE: CONTRACTOR: I
Name Name: Phillip Tobias Hartnett
Address: Company: Hartnett Building Group, LLC
City: State: Address: 101 Avenue 'D' -
Zip Code: Fax: City: Fort Pierce
Phone No. Zip Code : 34950 Fax:
E-Mail: Phone No 772.429.5243
Fill in fee simple Title Holder on next page ( if different E-Mail hbgllc123@comcast.net
from the Owner listed above) State or County License CBC 1253228
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.
State:_f!.__
SU PPLEMENTAL CONSTRUCTION LIEN LAW INF OR M ATION:
D ESIG N ER/ENGINEER: _Not Applicable MORTGAG E COM PAN Y: _Not Applicable
N ame : N /A Name: N /A
Address: Address:
City: State: --City: State: --
Zip: Phone Zip: Phone:
FEE SI M P LE TITLE HOLD ER: _Not App l icable BONDING COMPANY: _Not Applicable
Name : N/A Name: N/A
Addres s : Address:
City : City:
Zip: Phone : Zip : Phone:
O W N ER/ CO N T RACT O R A FFI D V IT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no wo r k or installation has commenced prior t o the issuance of a permit.
St. Lucie Count{i makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con lict 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 considerat ion 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 follow i ng building permit applications are exempt fro m undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences , walls, signs, screen rooms and accessory uses to another non-res idential use
WARNING TO OWNER: Yo u r failu re t o Rec o r d a Notice of Co m mencement may res u lt in paying twice for
improvements t o your p ropert y. A N otice of Commencement must be reco rd ed i n the public r ecord s of St.
Lucie Cou nty and posted on t h e job site before the fi r st i nspect i o n. If you i n tend t o obta i n fi n ancing, con s u lt
with lender or an attorney before commencing w o rk or recording you r N otice of Commence m ent.
~ #~? I 1
vf
Signature of Owne r/ Lessee/Contractor as Agent for Owne r
STATE OF FLOR I DA
CO UNTY OF FL
Sworn to (or affirmed) and subscribed before me of _x_ Physical Presence or __ Online Notarization
this 11th day of August ' '20 21_ by :i,\\\\11111111111,, ~'''\-"';\-:' !\ d'''~ §'-, •' '• ~ ~ : ii 0 z--·:~~
Name of pe rson making statement. $: • I T'? • y "~ ' • ·v;y o )_. ;~ € .• -</ Orry~ •. ~
-(/)• Pr;; · ~ .Ii\-
Personally Known x OR Produced Identification t: -l' %. <.s; <>. ".otii. O:D E ---::')7: GGao o<.; :s ; ,S
Type of Identification Produced i::. ~·..-o ~ • ~ ~~·.v ~ .-s
Letitia B . Baker of-~.,U---~ ·."St.1c •• I ~ .. 9~·;..:···~:o't,.~~
(Signature of Notary Public-State of Florida ) -·''''""'"''''\\'·-
Commission No . (Seal)
REVIEWS FRONT ZON ING SUPERVISOR PLANS VEG ET ATI ON SEA TURTLE MANGROV E
CO UNTER REVIEW REV I EW REVI EW REVI EW RE VIEW REV I EW
DATE
REC EIVED
DATE
COMP LETED
l{ev ':J/2 0 /2 1
NOTICE OF COMMENCEMENT
Permit No . ------------Tax Folio No. 2408-331-0002-010-2
State of Florida County of St. Lucie
The under~igned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following information is provided in th is Notice of Commencement.
Legal Description of Property: (and street address if available):
8.35 40 FROM INT OF S R/W DEL AWARE AV AND WI 1 OE E 1 2 OF sw 1/4 RUf\J 3 274 .12
General description of improvement: INSTALLATION OF IMPACT WINDOWS & DOORS
Owner information or Lessee information ff the Lessee contracted for the improvement:
Name REGINA LATTNER MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT
Address 3815 DELAWARE AVENUE ET PIERCE El SAINT LUCIE COUNTY
Interest in property:__,O=w_,_,_,_n.,.e...._r __ . _______________ _
Name and address of fee simple titleholder {if different from Owner listed above):
Same
Contractor's Name: Hartnett Building Group, LLC
FILE# 4907430 08/11/202110:29:40 AM
OR BOOK 4664 PAGE 1462 -1462 Doc Type: NC
RECORDING: $10.00
Contractor Address: 101 Avenue 'D' Fort Pierce Fl 34950 -PnoneNumoeF:772429 5?A3-----
Surety (if applicable, a copy of the payment bond is attached): Amount of bond:$ ______ _
Name and address : N/A Phone number:--------
lender Name: N/A Phone Number: -----------------------~ Lender's address: ___________________________ _
Persons within the State of Florida des ig nated by Owner upon whom notices or othe r documents may be served as prDvided by Section
713.13(1){a)7., Florida Statutes:
Name:------------------Phone Number: _______ _
Address: ______________________________ _
In addition to himself or herself, Owner designates ___________ of __________ to receive a copy of the
Lienor's Not ice as provided in Section 713.13(l)(b}, Florida Statutes.
Phone number of person or entity designated by owner:---------------
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be 1 year from the date of recording unless a different date is specified) ______________ _
WARNING TO OWNER: ANY PAYMENTS MADE SY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713 .13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND Tb OBTAIN FINANCING, CONSULT WITH YOUR LENDE R OR AN ATIORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
my kn ledge and belief.
f Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
(Signatory's Title/Office) -
The foregoing instrument was acknowledged before me this--9_ day of Auq , 20 ~
By REGINA LATTNER as Owner for -----------------Name of Person Type of authority (e.g.officer,trustee) Party on behalf of whom instrument was executied
{ignature of Notary Public -State of Florida)
Personally known ~ produced Identification __ .
(Pr int, Type, or Stamp Commissioned Name of Notary Public) Type of Identification produced _______ _