HomeMy WebLinkAboutNicholson App All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
d U
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1S53 Fax: (772)462-1S78 CBDG Funding
PERMIT APPLICATION FOR:WINDOWS & SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 10205 CROSBY PL l_
Property Tax ID#: 3327-710-0019-000-9 Lot No. 117
Site Plan Name: Block No.
Project Name:. NICHOLSON
DETAILED DESCRIPTION OF WORK:
INSTALL (4) IMPACT WINDOWS; (8) ROLL DOWN SHUTTERS; (5)ACCORDION SHUTTERS
NOA 20-0814.10 (MULLS), NOA 20-0428.01 (FIX), NOA 20-0813.07 (SH),
FL14235.1 (ROLL-UP), FL13757.1 (ACCORDION)
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 X Shutters X Windows/Doors ^ Pond
Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 49,500 Utilities: —Sewer _Septic Building Height:
OWNERAESSEE- CONTRACTOR:
Name Richard Ni n Name: JONATHAN STARRATT
Address: 10205 CROSBY PL Company: WHITE ALUMINUM WINDOWS
City: PORT ST LUCIE State: FL Address: 2933 SE Gran Park Way
Zip Code: 34986 Fax: City: Stuart State: FL
Phone No. 561-254-6127 E- Zip Code: 34997 Fax:
Mail: Phone No 772.212.1400
Fill in fee simple Title Holder on next page(if different E-Mail rebecca@permitgroupfl.com
from the Owner listed above) State or County License CGC1523855
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:
DESIGN ER%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 proh[bit 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.
Signature or/own r'Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF MARTIN
Sworn o(or affir a d subscribed b rye me of i! Physical Presence or Online Notarization
this t�day of V 20CA by
JONATHAN STARRATT
Name of person makings tement.
Personally Known OR Produced Identification Greta Scheiner
Type of Identification Produced Notary Public
State of Florida
Comm#HH020635
(Signature of Notary Public-State of Florida)
Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
eV 5120/21