HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
U a `' t` ` L `~ �� Building Permit Application
Planning and Development Services
a Building and Code Regulation Division Commercial Residential XXX
a 2300 Virginia Avenue,Fort Pierce FL 34932
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:Window/Door Repiacement
PROPOSED IMPROVEMENT LOCATION:
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Address: 143 PEPPER LN
Property Tax ID#: 4511-503-0012-000-2 Lot No.
i Site Plan Name: BAY TREE LOT 6 Block No.
Project Name: Ribando Glass Replacement
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DETAILED DESCRIPTION OF WORK:
Replacement Windows- 14 openings-21 windows
a Replacement Doors-4 openings
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a New Electrical Meter Second Electrical Meter
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CONSTRUCTION INFORMATION:
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Additional work to be performed under this permit—check all that apply:
— — —
� —Mechanical —Gas Tank Shutters Windows/Doors
Gas Pond
—Electric Plumbing —Sprinklers —Generator —Roof Pitch
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Total Sq. Ft of Construction: Sq. Ft.of First Floor:
36,920,00 Utilities: Sewer
� Cost of Construction:$ — —Septic Building Height-
OWNER/LESSEE: CONTRACTOR:
Name Michael Ribando Name:Jonathan Starratt
Address:
143 PEPPER LN Company:White Aluminum
City: Jensen Beach State: Address:2933 SE Gran Parkway —
Zip Code: 34957 Fax: City. Stuart State:FL
Phone No.631-766-0781 Zip Code: 34997 Fax:
E-Mail:mribando@approvedfireprevention.com Phone No 772-692.0090
Fill in fee simple Title Holder on next page(if different E-Mail astaples@whitealuminum.com
i� from the Owner listed above) State or County License CGC 1523855
f 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.
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I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name:___ Name:
Address:- Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
a Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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iOWNER 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
c 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
5 WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in paying twice for
i 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/Les. e/Contractor as Agent for Owner Signature of Con acto[Txicense Holder
STATE OF FLORIDA STATE OF FLORIDA
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COUNTY OF COUNTY OFMwn
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
x Physical Pres nce o Online Notarization x Physical Pre once or Online Notarization
this day of ! 2021 by this —day of f ;' 2024 by
Jonathan Siarrall Jonathan Slarrall
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
T7uced I Produced
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(tigillature o otary Public-State of Florida J IS' nature 6f Notary u llc-Stat�t,O ndI.p
tobi"4, Not rt l"Inlic Sr110 01 Fi n s
Commission No. Ge235ia2 ,�• P, (Seal}y Public Stara o}Flan 3Co fission No. �zastaa r tSeAaTlieia Stanl'?g
i Angela StaplesGG 23 1
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Camrn iselon GG 23510 n L,h r •0 oa;_ri 22
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REVIEWS FRONT I R PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.516/20