HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
O
Building 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
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 7604 Coquina AVE Fort Pierce, FL 34951
Property Tax lD #: 1301-607-0223-000-9
Site Plan Name:
Project Name: Manuel LeonorJr
DETAILED DESCRIPTION
DESCRIPTION OF WORK:
I n5+6,L1 /0 ir"'..c
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 2
Block No. 79
✓h YJ 4./A— Ir 1 a a .^
Additional work to be performed under this permit- check all that apply: I•
_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: $ -4 &�- f 1 3 �O Utilities: -Sewer _Septic Building Height:
OW N ERAESSEE:
CONTRACTOR:
Name Manuel Leonor Jr
Name: Scott Berman
Address:7604 Coquina AVE
Company: Florida Window & Door
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No. (772) 353-2052
Address:1125 N Dixie Highway
City: Lake Worth State: FL
Zip Code: 33460 Fax:
Phone No 561-340-4300
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail howard@floridawindowanddoor.com
State or County License 28576
It 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
Name:
MORTGAGE COMPANY: —Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State: _
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 contlict 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 attorneybefore commencln work or recordin our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of or/License Holder
STATE OF FLORIDA I/J�
COUNTYOF -rcJ l o y) K&%Jkv '
STATE OF FLORIDA
COUNTY OF Palm Beacn
Sworn to (or affirmed) and subscribed before me of
Ph'ysical Presence or Online Notarization
this,?=day of�iunL ,2029by
i�t I
Swor (or affirmed) and subscribed before me of
Physical PresA�ncee or Online Notarization
this dayof4 ��J— 202(by
I
Manuel Lecnor Jr
sco0 Berman
Name of person making statement. _
Name of person making atement.
Personally Known_ OR Produced Identification
Type of Identification
Produced
Personally Known OR Produced identification
Type of Identification
Produced
i'1-LyLoAp
SASigna a of Notary Publi -ate of FI
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,MW lion No. : „ Commi"* VH008639
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%1oFF oe BondedTyuO etNa &arAM
(Signature of Notary Public- Sta
Commission No. GG ) lo3
gr,'da NIKOLE LYNN PLA
' ' •' MY COMMISSION 0 GG
;November 2
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REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
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MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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