HomeMy WebLinkAboutPatriquin Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/15/21 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
PERMIT APPLICATION FOR: Louis A Patriquin II
PROPOSED IMPROVEMENT LOCATION:
Address: 10044 S OCEAN DR 201
Property Tax ID #: 4502-804-0009-000-4
Site Plan Name:
Project Name:
Lot No. 2
Block No. 37
DETAILED DESCRIPTION OF WORK: I
Replacement of Windows and Doors with Impact
FL NOA 20-0915.01 FL NOA 20-0628.18 FL NOA 20-1208.09
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 X Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 30,712.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Louis A Patriquin II
Name: Jeffrey Walsh
Address: 0044 S OCEAN DR 201
Company: Liberty Impact Windows and Doors
City. Jensen Beach FL State: _
Zip Code: 34957 Fax:
Phone No.
Address:257 SE Monterey Road East
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No772-444-7112
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail libertypermitting@gmail.com
State or County License CGC 1528257
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/EN
IName: GINEER: x Not Applicable
Address:
City:
Zip: Phone State:
FEE SIMPLE TITLE HOLDER:
Name: Not Applicable
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT•
MORTGAGE COMPANY: Not Applicable
Name:
Address.
City:
Zip: _____._.__ Phone: State:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: __ ._._._._ Phone:
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 tha
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,t may restrict or prohibit suh
in accordance with the aY
approved plans, the Florida Building Codes and St. Lucie County Amendments. erform the work
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 OWIl YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR POST FOR tM THE
i TO YOUR PROPERTY. A ��� OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE PAYING
WITH YOUR LENDER RE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
ATT RNEY BEFORE RECORDING YOUR OTICE OF COMM
Signature
STATE OF FLORIDA
COUNTY OF 1
as Agent for Owner
The for oing instr ent as acknowledged before me
this l9 day of 20
v N
Na f g
Ion m state ent.
Personall Known
y ° OR Produced Id tifidaticn
Type of Identification z
Produced E E
v E o 0
O
zt5 V V y
(signature of Notarj�Public- State of
Commission No. qilmllit
Signature of C tractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged beibr:
this 9, day of
20* by
Na a so king statement. ,
PersonallyKnown c .R
F OR Produced Iden�
Z
Type of Identification'
Produced E E
o V V
v
c
m
(S ure of Notary Public -State of Florida
Commission No. ��� (Seal)
REVIEWS I FRONT I ZONING I SUPERVISOR I F
COUNTER I REVIEW:' , REVIEW , RI
DA
PLETED
C^R!ST,tiA =ORTIN
State of Florida
t - r-r' -,ior = GG 937464
'LANS
:VIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
3orccc th, o,,2h ^rational Notary Assn