HomeMy WebLinkAboutBuilding Permit Application 8-Noy-2021 20:32 From SHARON WALTERMIRE. Phone #7725710899 FaxZero.com p.2
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: Permit Number:
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L- L. 0: 1 E c K -'' Building Permit Application Nov 0 8
20
Planning and Development Services St Lft.
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Building and Code Regulation Division Commercial Residential XCoury�
2300 Virginia Avenue,Fort Pierce FL 34982 n9
Phone:(772)462-1553 Fax:(772)462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address:808 SHOREWINDS DR C
Property Tax ID#:1425-701-0017-000-2 Lot No.16
Site Plan Name: Block No.—I
—
Project Name:
F6FTAILED DESCRIPTION OF WORK:
INSTALLATION OF 4 RECEPTACLE OPENINGS,INSTALLATION OF 1 SWITCHED RECEPTACLE OPENING,REPAIR OF RECEPTACLE ON WEST WALL UPSTAIRS,INSTALLATION
OF 2 SWITCH OPENINGS,INSTALLATION OF 1 LIGHT OPENING,INSTALLATION OF 2 LIGHT FIXTURES.ONE ON THE FRONT AND ONE ON THE BACK.INSTALLATION OF
PADDLE FAN,INSTALLATION OF 2 WEAIHERPROOF OUTLETS AND IN USE COVERS ON BACK OF BUILDING
CONSTRUCTION INFORMATION:
NVIeLel •----.._.__.._-SHCIITiITt7etilrrCa1]VrE`COT kMIIIUdVILr
Additional work to be performed under this permit—check all that apply:
_Mechanical_Gas Tank_ _Gas Piping _Shutters T Windows/Doors _Pond
-X Electric _ Plumbing T Sprinklers _Generator _Roof Pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$1275,00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name THOMAS KOLANO Name:RICHARD WALTERMIRE '
Address:17 RINGLER DR Company:TWIN RIVERS PROPERTY MAINTENANCE INC
City:EAST NORTHPORT State:NY Address: 13180 105TH ST
Zip Code:11731 Fax: City:FELLSMERE State:FL
Phone No.631-757-OROS Zip Code:32948 Fax:
E-Mail: Phone No.772-571-0899
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Fill in fee simple Title Holder on next page(if different from thbil TWI NRIVERSPM@YAHOO.COM
Owner listed above) State or County License EC 13006151
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.
8—Nov-2021 20:32 From SHAROM WALTERMIRE. Phone #7725710899 FaxZero.com p.3
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:v
DESIGNER/ENGINEER: _X_Not Applicable MORTGAGE COMPANY: _X_Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _X_Not Applicable BONDING COMPANY: _X_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 tothe 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 consul t 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 bef re commencing work or recording your Notice of Commencement.
Signature of Owner/Lessee/C ntractor as Agent for Owner
I
STATE OF FLORIDA
COUNTY OF s i�,4 .-, , r►'
Sworn to(or affirmed)and sybscribed before me of Physical Presence or Online Notarization I
this_L day of 1j�iJeTyll „-"✓ 20_4 by i t
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Produced 4-i 1 L-
(Sig an ture of Noy Public tate of Florida)
y� e� °mod'-. NARGARF Ci:ERISE WESTE,46ERCER
Commission No. 1- L 5 ''(Seal) ;f, �..:
Notary Public-State of Florid!
•�„Js' Commission:HH039513
My Comm.Expires Sep 3, 2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE I
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW ;
DATE
RECEIVED
DATE
i COMPLETED
Rev 5/20/21
8-Nov-2021, 20:31 From SHAROM WALTERMIRE. Phone #7725710899 FdXZero.com PA
Recipient Information
To: Planning and Development Services
Company: Building and Code Regulation Division k0mlcom
Fax#: 17724621578
Sender Information sanda fax fnrfree
From: SHARON WALTERMIRE
Company:Twin Rivers Property Maintenance Inc
Email address:twinriverspm@yahoo.com (from 107.209.189.37)
Phone#: 7725710899
Sent on: Monday, November 8 2021 at 3:30 PM EST
Building Permit Application
RECEIVED
NOV 0 8 2021
aL.Lucie GmMY
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