HomeMy WebLinkAboutBuildingPermitApplication All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/27/21 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 CBDG Funding
PERMIT APPLICATION FOR: WINDOW REPLACEMENT
PROPOSED IMPROVEMENT LOCATION:
Address: 7339 Reserve Creek DR,Port Saint Lucie,FL 34986
Property Tax ID#: 3322-601-0024-000-7 Lot No.
Site Plan Name: RESERVE CREEK PARCEL 5 LOT 4 AND THAT PART OF SEC 22-36-39 Block No.
Project Name: Rashidi Residence
DETAILED DESCRIPTION OF WORK:
Remove and replace(1)CGI horizontal roller window(NOA#20-0610.03)
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters X Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4,400 Utilities: —Sewer _Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name Bijan Rashidi,Sarah Thompson Rashidi Name: David LaPrade
Address: 7339 Reserve Creek Dr Company: The Glass Professionals
City: Port Saint Lucie State: FL Address: 3570 SE Dixie Hwy
Zip Code: 34986 Fax: City: Stuart State: FL
Phone No. (916)600-9859 E- Zip Code: 34997 Fax: 772-286-0461
Mall: str1968@outlook.com Phone No 772-286-0459
Fill in fee simple Title Holder on next page (if different E-Mail gp.permits2@gmail.com
from the Owner listed above) State or County License 19363
Llue of construction is 2500 or more,a RECORDED Notice of Commencement is required.
e 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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
STATE OF FLORIDA
COUNTY OF Saint Lucie
Sworn to(or affirmed)and subscribed before me of X Physical Presence or Online Notarization
this 27th day of August 20 21 by
David LaPrade
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification Produced
&�1,
(Signature of Notary Public-State of Florida)
Commission No. GG234007 (Seal)
BRENDA LOPER
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