HomeMy WebLinkAboutBuildingPermitApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ____________________ Permit Number: _____________________
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial __________ Residential __x________
CBDG Funding _________
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: _______7905 Links Way____________________________________________________________________
Property Tax ID #: ____________3327-709-0013-000-3_________________________________ Lot No.____58____
Site Plan Name: __________The Reserve_____________________________________________ Block No. _______
Project Name: Ed & Amy West Residence
______________________________________________________________________________________ DETAILED DESCRIPTION OF WORK:
_____________________Remove 2 existing bathroom windows and replace with like in impact __________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_ 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
Sq. Ft. of First Floor: _________________________ Total Sq. Ft of Construction:___________________
Cost of Construction: $ ________$6500.00______ Utilities: __ Sewer __ Septic Building Height: __________
OWNER/LESSEE: CONTRACTOR:
Name________Ed & Amy West____________________
Address: __7905 Links Way________________________
City: _____Port St Lucie________________ State: _FL__
Zip Code: ______34986___ Fax: ____________________
Phone
No.___540-798-4251_____________________________
E-Mail:____eew@westmachinerysystems.com__________
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: _____David Laprade________________________
Company: ___The Glass Professionals________________
Address: ___3570 SE Dixie Hwy____________________
City: ___Stuart_____________ State: __FL_
ZipCode: ___34997_______ Fax: _____772-286-0461___
Phone No____772-286-0459_____________________
E-Mail___shawna@glasspros.us____________________
State or County License_____19363________________
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 INFORMATION:
DESIGNER/ENGINEER: __x_ Not Applicable
Name: _____________________________________
Address: __________________________________
City: __________________________ State: _____
Zip: ___________ Phone______________________
MORTGAGE COMPANY: __x_ Not Applicable
Name: ____________________________________
Address: ___________________________________
City: ____________________________State: _____
Zip: __________ Phone: ______________________
FEE SIMPLE TITLE HOLDER: _x__ Not Applicable
Name: _____________________________________
Address: ___________________________________
City: _______________________________________
Zip: ___________ Phone: ______________________
BONDING COMPANY: __x_Not Applicable
Name: ____________________________________
Address: ______________________________________
City: __________________________________________
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 th e issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structur e
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 your Notice of Commencement.
___________________________________________
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY
OF________Martin_______________________
___x_ Physical Presence or _____ Online Notarization Sworn to (or affirmed) and subscribed before me of
this ___13th_ day of ______September_______,
20_21__ by David Laprade
Name of person making statement.
Personally Known ____x__ OR Produced Identification ______
Type of Identification Produced__________________________
(Signature of Notary Public- State of Florida)
Commission No. ______________ (Seal)
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21