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BuildingPermitApplication
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: . �.. 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: Q Address: 6823 Wadsworth Terrace, Port St. Lucie, FL 34952 Property Tax ID #: 3415-705-0030-000-6 Lot No. 29 Site Plan Name: Block No. 1 Project Name: MAROTTA, Peter DETAILED DESCRIPTION OF WORK: Furnish and install roll down shutters, electric by others 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 XX Shutters Windows/Doors Pond Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 12,600.00 Utilities: Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name MAROTTA, Peter Name: Jonathan Starratt Address: 6823 Wadsworth Terrace Company: White Aluminum & Windows. LLC City: Port St. Lucie State: FL Zip Code: 34952 Fax: Phone No. E- Address: 2933 SE Gran Park Way City: Stuart State: FL Zip Code: 34997 _ Fax: Phone No 772-212-1400 Mail: gscheiner@whitealuminum.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail gscheiner@whitealuminum.com State or County LicenseCGC1523855 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 I.IEN....I.AW INFORMATION: DESIGNER/ENGINEER Name: Address: City: Zip: Phon Not Applicable MORTGAGE COMPANY: _ Not Applicable _I Name: Address: State City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY: Not Applicable Name: _ Address: City: Zip: Phone: Name: _ Address: City: 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 reppresentation that is granting a permit will authorize the permit holder to build the subject structure which conflicts with any appllcable 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. Sikfiature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF Martin Sworn to (or affirmed) and subscribed before me of XX Physical Presence or Online Notarization thisl5th day of November , 20 21 by 7©NIA 1 (qQ STYg-�- t- Name of person making statement. Greta Scheiner Personally Known XX OR Produced Identification Notary Public TyTeq Identification Produced_ State of Florida *rl Comm# HH020635 Ex 'r (Signature of Notary ate of Florida) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 5/2—U/21