HomeMy WebLinkAboutBuilding permit app, pg 2DESIGNER/ENGINEER: _x_ Not Applicable
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City: _
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
State
_x_ Not Applicable
MORTGAGE COMPANY:
Name:
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BONDING COMPANY:
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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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consu t 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 gran attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY
OF Martin
Sworn to (or affirmed) and subscribed before me of _x_ Physical Presence or Online Notarization
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)
KELLYWIDMAN
Commission No66 55'9 (Seal)MY COMMISSION#GG922819
EXPIRES: Oeober 20, 2023
Bonded Thru Notary Public Underwriters
E
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21
All 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 Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION fit•'
REM ! e 0
I b s l•
Address:
Property Tax ID #:
7905 Links Way
3327-709-0013-000-3
Site Plan Name: The Reserve
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
Additional work to be performed under this permit —check all that apply:
(Affidavit required)
Lot No. 58
Block No.
Mechanical _ Gas Tank _ Gas Piping _ Shutters _x— Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ $6500.00 Utilities: —Sewer —Septic Building Height:
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
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.