HomeMy WebLinkAboutBUILDING PERMIT APPLICATION ` All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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IT ` ` I' ` `' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XXX
2300 Virginia Avenue,Fort Pierce Ft 34982
! Phone:(772)462-1553 Fax:(772)462-1578
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PERMIT APPLICATION FOR:WIndOW/Door Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 135 COMMONWEALTH CT
Property Tax ID#: 1414-701-0126-000-5 Lot No.
Site Plan Name: QUEENS COVE-UNIT 1-BLK 14 LOT D(OR 1157-696:3139-1062) Block No.
Project Name: Gornto Glass Replacement
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DETAILED DESCRIPTION OF WORK:
q Replacement Windows-9 openings-impact
ry
4
7
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
3 Electric _Plumbing _Sprinklers r Generator _Roof Pitch
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
11,900.00 Utilities: Sewer Septic Building Height:
� Cost of Construction:$ — — p
OWNER/LESSEE: CONTRACTOR:
7 Name James M Gornto Name:Jonathan Starratt
Address: 135 COMMONWEALTH CT Company:White Aluminum
City: Fort Pierce State: Address:2933 SE Gran Parkway
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Zip Code: 34949 Fax: City: Stuart State:FL
Phone No.772-201-8567 Zip Code: 34997 Fax:
E-Mail:gorntoj@bellsouth.net phone No 772-692-0090
Fill in fee simple Title Holder on next page(if different E-Mail astaples@whitealuminum.com
from the Owner listed above) State or County License GGC 1523855
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. T
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:
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(allure 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.
1 Signature of Own rr/Les a/Contractor as Agent for Owner Signature of Con acto[fl.icense Holder
STATE OF FLORIDA STATE OF FLORIDA
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COUNTY OF.— COUNTY OF—n
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Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
x Physical Presence n Onl ne Notarization x Physical Presence r Online Notarization
this day of ] �� 2021� by this day of ' 202f� by
Jonathan Siarrart Jonathan Suvratl
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
Pr uced Produced
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( ig ature o otary Public-State of Florida) J(5nature f Notary u Ilc-State� gridsCommission No. GG235102 �.p (5eal)y Pubi,t`,1, of rionissfon No. GG23s102 pela Staples
r R Angela Staples a^y Comm ss,on G�23
My[;ommieson GG 2151 `' f.e,re;o',M4'2a22
REVIEWS FRONT $N1l�r`aq10f tKiR L- NS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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