HomeMy WebLinkAboutBuilding Permit Application - I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
�- - Building Permit Application Pwrmiftfng Department
Planning and Development Services St, W014 County
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
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Phone: 772 462-1553 Fax: 772 462-1578 CBDG Funding
PERMIT APPLICATION FOR: w;
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�dWS
PROPOSEDIMPROVEMENT LOCATION:
Address: 216 Riomar DR Port St Lucie, FL 34952
Property Tax ID#: 3419-510-0323-000-1 Lot No. 6&7
Site Plan Name: Block No. 22
Project Name: Patterson
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DETAILED DESCRIPTIONOF WORK:
$
replace existing winclowsAkxws with impact
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New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION: i
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters X Windows/Doors _Pond
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Electric _Plumbing _Sprinklers _Generator _Roofs Pitch
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Total Sq. Ft of Construction: Sq. Ft. of First Floor:
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Cost of Construction:$ 29,274 Utilities: —Sewer —Septic Buillding Height:
OWNER/LESSEE: CONTRACTOR: ~
Name Michael L Patterson & Dawna Harris Name: ALPHONSE
Address: 216 Riomar DR Company: STORM TIGHT WINDOWS
City: Port St Lucie State:FL Address:500 SW 12TH AVE
Zip Code: 34952 Fax: City: DEERFIELD BEACH State: FL
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Phone No. (602)574-8224 E- Zip Code: 33442 Fax:
Mail: ROXANNE-44@MSN.COM Phone No 800-249-4240 ext 913
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Fill in fee simple Title Holder on next page(if different E-Mail stormtightpermitsCaD_outlook.com
from the Owner listed above) State or County License CRC 046091
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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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SUPPLEMENTAL CONSTRUCT N LIEN LAW INFORMATION: i'� k
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: V 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.
Signature 7
Owner/Lessee/Contractor as Agent for Owner /l F,
STATE OF FLORIDA
COUNTY OF S-J�.
Sworn to(or affirmed)and su scribed before me of /Physical Presence or Online Notarization
this+ day of f 2QIL by
At�pko,d L, RJtuLson
Name of person making statement. /
Personally Known OR Produced Ide tification
Type of Identification Produced
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(Signature of Ndtary Public-State of Florid
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Commission No. ��2TU (Seal) RITAS.PETERS
SION#HH 100248S;April 19,2025tary Public Underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21