HomeMy WebLinkAboutBuilding Permit App - Revised - Geib All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/13/2021 Permit Number: 2110-0320
P El ° 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: Renovation
PROPOSED IMPROVEMENT LOCATION:
Address: 21 Aqua Ra Drive
Property Tax ID#: 4511-811-0022-100-2 Lot No.
Site Plan Name: Block No.
Project Name: Geib
FEETAILED DESCRIPTION OF WORK: -
New Electrical Meter Second Electrical Meter
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 T Sprinklers _Generator Roof _Pitch
Total Sq. Ft of Construction:_ Sq. Ft. of First Floor:
Cost of Construction:$� '5SD 00 Utilities: —Sewer —Septic Building Height:_
OWNER/LESSEE: CONTRACTOR:
Name Eric Geib Name:John Zervopoulos
Address:21 Aqua Ra Drive Company:Advanced Hurricane Protection
City: Jensen Bch State:_ Address:4517 5E Commerce Ave
Zip Code: 34957 Fax: City: Stuart State:FL
Phone No.603-978-5205 Zip Code: 34997 Fax:
E-Mail:EricGeib@Me.com Phone No 772-220-1200
Fill in fee simple Title Holder on next page(if different E-Mail John@AdvancedHurricane.net
from the Owner listed above) State or County License CBC1259339
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: , 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 bef ommencing work or recording our Notice of C encem nt.
S' aturZLORIDA
ner/Lessee/Co ctor as Agent for Owner Sign ure of ctor/License o der
STATE OF FIORIDA
COUNTY OF Martin COUNTY OF Martin
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
x Physical Presence or Online Notarization X Physical Presence or Online Notarization
this 13th day of October 20?4_by this 13th day of October 20y
John Zervopoulos John Zervopoulos
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public- aturd of Notary Public-
'a4` vi s MELISSA A.EWOLDT ` Y? MELWA A.EWOLDT
Commission Na. HH lassos .�SIUOOMMISSION#HH 1 o isslon No. HH 146508 ?�: #: (Iig Qq MMISSION#HH W
'rQo: EXPIRES:August 10,20 "�Tp4 EXPIRES:August 10,202
�odF,Q, Bonded Thru Notary Public Uode 'ers �oF drR•° Bonded TFau Notary public Uncle 0111
REVIEWS FRONT ZONING SUPERVISOR I PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.