HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
0 Date: Permit Number: C � � � '
&= RECEIVED
° JUL ,-cczll, `1 OCT 13 2020
p i Building Permit Application
St.Lucie County
Planning and Development Services Permitting
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:
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Address: 3221 S Lakeview Cir Unit 105,Fort Pierce,FL 34949
Property Tax ID M1426-501-0005-000-4 Lot No.
Site Plan Name: Block No.
Project Name:John&Bettie Kee
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Replacement 4 Doors
New Electrical Meter Second Electrical Meter (Affidavit required)
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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:$ 21500.00 Utilities: _Sewer „Septic Building Height:
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NameJohn&Bettie Kee Name:Stephen Lambert
Address:3221 S Lakeview Cir Unit 105 Company:Newsouth Window Solutions
City: Fort Pierce State:FL Address:2526 Okeechobee Blvd.
Zip Code: 34949 Fax: city: West Palm Beach Stater
Phone No.(304)932-6187 Zip Code:33409 Fax:5614784100
E-Mail: Phone No 561-712-9000
Fill in fee simple Title Holder on next page(if different E-Mail permits-wbp@newsouthwindow.com
from the Owner listed above) State or County License SCC131151763
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:
I Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Add ress_
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.
1 certify that no work or installation has commenced priorto the issuance of a permit.
St.Lucie County makes no representation that is-grantin 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 ofthe 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 of an attornev be.Wre commencing work or recording our Notice of Commencement.
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Sign at of Owner/Lessee/Contractor as Agent for Owner
ST E OF FL
COUNTY OF ti2c&M eC Ck 1
Sworn to(or affirmed►and subscribed before me of --ellohysital Presence or Online Notarization
this 4a day ofC•6Cr 2(QJ by
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Name of person making statement.
PHILIP G. PEROTTI
Personally Known OR Produc d Identification�_ ^►" 6-state of Florida Notery Public
Type of entif!cation Prod ced _ - •S Commission y on 1oifes
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My Commission 2021
December 10,
4A;P.k/%j
(Signature of Notary Public-State of Florida)
Commission No. 1(a6tM _ (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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