HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/21/21 Permit Number:
44, r
_ _� 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
PERMIT APPLICATION FOR: Remove and replace (1) skylight
PROPOSED IMPROVEMENT LOCATION:
Address: 5506 SUNSET BLVD. FORT PIERCE FL 34982
Property Tax ID#: 3402-609-0269-000-5 Lot No. 11
Site Plan Name: LO IIT_O Block No. 59
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove and re-install new skylight
We already have a permit for this roof/ owner decide to change skylight / last minute
Roof Permit#2109-0259
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 _Windows/Doors _Pond
_Electric —Plumbing —Sprinklers —Generator _Roof 5/12 Pitch
Total Sq. Ft of Construction: 2181 sq. ft. Sq. Ft.of First Floor: 2181 sq. ft.
500.00 Utilities: Sewer Septic Building Height: 12'
Cost of Construction:$ — —
OWNER/LESSEE: CONTRACTOR:
Name Charles T. Lovito Name: Mauricio Orellana
Address: 5506 SUNSET BLVD. Company:ONE CONSTRUCTION&ROOFING CONTRACTORS,INC
city: FORT PIERCE State: FI Address: 2139 sw Conant avenue
Zip Code: 34982 Fax: N/A City: PORT SAINT LUCIE State:FI
Phone No. 772 345-D456 Zip Code: 34953 Fax: N/A
E-Mail: N/A Phone No 772-240-9497
Fill in fee simple Title Holder on next page (if different E-Mail oneconstructionservicec;ayahoo com
from the Owner listed above) State or County License CCC-1330623
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: _Not Applicable MORTGAGE COMPANY: X 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 intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST LUCIE
Sworn tOtof affirmed) n subscrib d ore me of Physical Presence or Online Notarization
this(=day of 2 by
KIQ&-, &:!^S"1�NI-S-Z-A
Name of person making statement.
Personally Known FOR Produced Identification
Type of Identificat" oduced
(Signature of Notary Public-State of Florida )
PAULE7E GLAIR-ALEXANDER
Notary Public-State of Florida
Commission No. (Sea �" �o Commission n GG 98703t
My Comm.Expires Sep b,2024
Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5 2 21