HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITAPPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION,
Address: 2743 Seneca AVE Fort Pierce, FL 34946
Property Tax ID #: 1428-702-1013-000-3
Site Plan Name: Evelyn McPherson
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
_Gas Tank
Plumbing
Total Sq. Ft of Construction:
Gas Piping
Sprinklers
Residential
Lot No. 8+g
Block No. 48
_Shutters _Windows/Doors _Pond
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Cost of Construction: $ � 5j �� � Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE,
CONTRACTOR:
Name Evelyn McPherson
Name: Scott Berman
Address: 2743 Seneca AVE
Company: Florida Window & Door
City: Fort Pierce State: _
Zip Code: 34946 Fax:
Phone No. (772) 940-3494
Address: 1125 N Dixie Highway
City: Lake Worth State: FL
Zip Code: 33460 Fax:
Phone No 561-3404300
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail howard@floridawindowanddoor.com
State or County License 28576
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.
SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:_
Address:
City:
Zip:
Phone
Not Applicable
State:
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:_
Address:
City:_
Zip:
Phone:
MORTGAGE COMPANY:
Name.
Address:
City:
Zip: Phone:.
Not Applicable
State:
BONDING COMPANY:Applicable
Name:_
Address:
City:_
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 is in conflict with any applicable Home Owners Association rules, bylaws or and 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.
Inconsideration 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 attornev before commencing work or recording vour Notice of Commencement.
STATE OF FLORI A
COUNTY OF S , I.�L(%l�
Sworn to (or affirmed) and subscribed before me of
✓Physical Pres ce or Online Notarization
this day of } O 2021 by
Evelyn McPherson
Name of person making statement.
Personally Known ✓
Type of Identification
Produced
OR Produced
Identification
(Signature of Notary Purb�llic- Sata(t7e
Commission No. 1�1� I I
CELESTE B. LAFC
MY COMMISSION # �
EXPIRES: January
Bonded Thru Notary PubII
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Pa�m6eech
Swor o (or affirmed) and subscribed before me of
�ysical Presen a or Online Notarization
this « 1 day ofC)C�0ej(: 2024 by
Scolt Berman
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
��ygpatu ; of Notary Public- State of
G 174597 y*+� Notary Public Slate
t$1115 Ex n No. 1�[� lI) Hunter Allen
UndeHH
rwriters Commission
Expires 03I21I2025
25
or n
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Rev. 5/b/1U