HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/2/21 Permit Number:
.
L �' �`�" 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 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 60 Mediterranean Blvd E, Port St. Lucie, FL 34952
X
Property Tax ID #: 3426-500-0939-000-3 Lot No. 60
ST LUCIE GARDENS 26 36 40 THAT PART OF BLKS 1 AND 2 LYG ELY OF US #1 AS SHOWN IN OR 2389-720
Site Plan Name: BEING LOT 60 MEDITERRANEAN BLVD E Block No.
Project Name:
Robert Brazeau
DETAILED DESCRIPTION OF WORK:
Solar Installation
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
x Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ $ 27,531.81
Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert Brazeau
Name: Banville Barrett
Address: 60 MEDITERRANEAN BLVD
Company: Barrett Electric Inc
City: Port Saint Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 219-465-8814 E-
Address: 6826 NW 32nd CT
City: Margate State: FL
Zip Code: 33063 Fax:
Phone No 954-652-1098
Mail: rbrazeau@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail permits@assuredgc.com
State or County License EC13001949
If value of construction is ZSUU 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 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, 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 before commencing work or recording our Notice of Commencement.
ev
Signa ure of Owner/ Less /Contr c r as Agent for Owner
STATE OF FLORIDA
COUNTY OF Broward
Sworn to (or affirmed) and subscribed before me of _Physical
Presence or X Online
Notarization
this 10 day of October ,20 22 by
Name of per aking statement.
Person y Kn OR Produced Identification X
:if
Type Id ation o uced FL. DR. LIC.
(Signature of y Public- State of Florida)
apAG
MAl1R0 MAllELLA
,oti�.v
) �? • Notary Public -State of Florida
O Seal 273760
(
Commission � tr
° Commission N GG
a�at
My Comm. Expires Nov 41 2022
Bonded through National Notary Assn.
n
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED