HomeMy WebLinkAboutBUILDING PERMIT APP - MEYERS All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
�_ �.,,- • = Building pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 CBDG Funding
PERMIT APPLICATION FOR:RETROFIT WINDOWS AND DOORS
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Address: 3209 S LAKEVIEW CIR#8201
Property Tax ID#: 1425-605-0019-000-1 Lot No.
Site Plan Name: Block No.
Project Name: MEYERS, MCHARD
R/RX WINDOWS &4 DOORS TO IMPACT
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION
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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:$ dc..i.000• v y Utilities: _Sewer _Septic Building Height:
111 Nil
Name MEYERS, RICHARD Name: DALE MATERKA
Address: 3209 S L.AKEVIEW CIR#8201 Company: ALL CONSTRUCTON IMPROVEMENT
City: FT PIERCE State: FL Address: 744 PERIWINKLE ST
Zip Code: 34949 Fax: City: BOCA RATON State: FL
Phone No. 561-716-4118 E- Zip Code: 33486 Fax:
Mail: thepermitrunnera@aol.com Phone No 561-305-0243
Fill in fee simple Title Holder on next page(if different E-Mail thei2ermitrunner0aol.com
from the Owner Fisted above) State or County License CGCO58549
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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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 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,wails,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 GZ,+�
Sworn t (or affirmed)and su scribed before me of Physical Presence or Online Notarization
this day of 201[by
Name of person making statement.
Personally Known OR P oduced Identification
Type of Identification Produced
(Signature of Notary ub' -State of F rida)
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Commission No. ( eal) �UB`�= �. ;!V ;'�:J` GG a17660
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REViEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21