HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSMAX-r
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit
LcLL
J Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: ?-,.rwr.a wiener
PROPOSED IMPROVEMENT LOCATION:
Address: 12332 Harbour Ridge Blvd Palm City, FL 34990
Property Tax ID N: 4426-600-0008-000-8 Lot No. 7
Site Plan Name: Barbara Warner Block No.
Project Name: Barbara Warner
DETAILED DESCRIPTION OF WORK:
Installation of hurricane protection motorized rolldown screens on (3) openings
New Electrical Meter Second Electrical Meter
CONSTRUC11ON INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _Gas Tank _Gas Piping XShutters —Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction:$ 9998.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height: 18
OWNER/LESSEE:
CONTRACTOR:
Name Barbara Warner
Name: Noreen Rayner
Address: 12332 Harbour Ridge Blvd
Company: Storm Smart of Southeast FL
City: Palm City State: FL
Zip Code: 34990 Fax: 844-30-8277
Phone No. (501) 960-6754
Address: 4047 Okeechobee Blvd Suite 106
City: West Palm Beach State: FL
Zip Code: 33409 Fax: (844) 330-8277
Phone No (561) 229-0048
E-Mail: barbiewarnergaol.com
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
E-Mail pernnittinstormslmartse.com
State or County License CRC1332755
N value of construction is 2500 or more, a RECORDED Notice of commencemem n required.
H value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State: _
Zip: Phone
City: State: _
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X Not Applicable
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 permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested & mit, 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 recordingyour Notice of Commencement.
Cis IQ
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Signature of Owner/Lessee/Contractor as Agent for Owner
Signature ofContractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 6 day of Decemier 202 by
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 6 day of Decem— ef—r 20Z by
Barbara Warner
Noreen Rayner
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification_
Personally Known _ OR Produced Identification X
Type of Identification
Type of Identification
Produced
Produced DL
OLU l
(Signature of N E State 9fIDd
NaLry Public- te[ of Florida
Commission No. 'c •_ Commiasipn_R HH 168936
HHIb8434 y Lo on Expires
Au9ust24,2025
(Signature of to Pu blio-Stsro of FloritlI
ry S. x Commission t HH IBB936
My m ission Expires
Commission No. 24, 2025
t{f{Ikrbg34
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