HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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L: c > t —' - Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XXX
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:Entry 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 Door Replacement
[DETAILED DESCRIPTION OF WORK:
Replacement Entry Door- 1 opening
New Electrical Meter Second Electrical Meter
CONSTRICTION INFORMATION:
Additional work to 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:$ 2800.00 Utilities: J Sewer _Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name James M Gornto Name:Jonathan Starralt
Address: 135 COMMONWEALTH CT Company:White Aluminum
City: Fort Pierce State:_ Address:2933 SE Gran Parkway
Zip Code: 34949 Fax: City: Stuart State:FL
Phone No.772-201-8567 Zip Code: 34997 Fax:
E-Mail:gornloj@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 CGC 1523855
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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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
I
QESIGNERIENGINEER: x Not Applicable MORTGAGE COMPANY: X Not Applicable
I Name: Name:
Address:- _ Address:
City: State: _ City: State:
} zip:. Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Nat Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone. Zip: Phone:
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s 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 accessary 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.
#A 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.
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Signature of Own r/Les. e/Contractor as Agent for owner Signature of Con acto !cerise holder
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i STATE OF FLORIDA STATE OF FLORIDA
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COUNTY OFµ a6, COUNTY OF—
Sworn to for affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
X X Physical Presenceor Online Notarizationy a ' 2¢ this 2021 byhs 1 20 by
■ ����"111 Jonathan S�artati
Jonathat Searrdtt
■ 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
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REVIEWS FRONT I R LANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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DATE
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