HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) ,
Date: 6l �' I Permit Number:
RECEIVED
g a o m a o Building Permit Application AN 13 2021
Planning and Development Services St.Lucie County
Building and Code Regulation Division Commercial X Residential Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:Alteration
PROPOSED IMPROVEMENT LOCATION:
Address: 5159 N HVVY Al #212 $
Property Tax ID#: 1411-706-0006-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK
Replace sliding glass door.
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 Zwindows/Doors _Pond
—Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction:p Sq. Ft. of First Floor:
Cost of Construction:$ 7j Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name AHA Investment Properties, LLC Name:Ray Reinhard
Address:5159 N Hwy Al 4212 Company:HBS, Inc.
City: Ft. Pierce State:_ Address:722 3rd Place
Zip Code: 34949 Fax: City: Vero Beach State: FL
Phone No.561-685-6272 Zip Code: 32962 Fax: 772-778-3514
E-Mail: Phone No 772-567-7461
Fill in fee simple Title Holder on next page (if different E-Mail tammy@hbsglass.com
from the Owner listed above) State or County License SCC131151281
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW IN�FORMATIDN
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 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 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 in nd ain financing, consult
with lender or an attorneybefore commencingwork or recordingour o ' mmencement.
a- ova
SIgNkture of Owner/Lessee/Kbritrad6r as Agent for Owner Signat Cont ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Florida COUNTY OF Flodda
Swgr 1 o(or affirmed)and subscribed before me of Swo to(or affirmed)and subscribed before me of
✓✓ yslcal Presen or Online Notarization Physical Prese ce or Online Notarization
this day of 2024 by this 2. daynof t ' 2024 by
h-11(t. f"'!' 0-6-. G," IKP3d1�1�,rc�
Name of person making stat ent. Name o�f per on making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of I ntification Type of Identification
Produce Produced
(SigE
(Signature of r u Ilc- a e o o i a
N ry Publ' tate of Florida °�ey Notary Public State of lorida
T mmy C nglieh ? Mari Ann Hutchinson
Com 908987 (S 1) Commission N N = M Commission GG(gem
Expires 0112=022 0,�oP Expires 10/01/2022
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