HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 111412022 Permit Number:
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` L a Building Permit Application
Planning and Development Services
Building ond Code RegulationDivision Commercial XXXX Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:Glass ROOM
PROPOSED IMPROVEMENT LOCATION:
Address: 19 LAKE VISTA TRL 102
Property Tax ID##: 3422-500-0254-000-5 Lot No.
Site Plan Name: VISTA ST LUCIE BLDG 19 UNIT 102 Block No.
Project Name: Verrastre
DETAILED DESCRIPTION OF WORK:
R/R Glass Room on existing concrete lanai. Existing impact egress SGD 2012-0333
New Electrical Meter Second Electrical Meter
CONSTRUCTION )NFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors Pond
Electric —Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 11-600.00 Utilities: Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name James Verrastro Name:Jonathan Starratt
Address:19 LAKE VISTA TRL 102 Company:White Aluminum
i
City: Port St Lucie _State:_ Address:2933 SE Gran Parkway
Zip Code: 34952 Fax: City: Stuart State:FL
Phone No.914-629-8337 Zip Code: 34997 Fax:
E-Mail: Phone No 772-692-0090
Fill in fee simple Title Holder on next page(if different E-Mail njohnson@whitealuminum.com
from the Owner listed above) State or County License CGC 1523855
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
if value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X Not Applicable
Name:so-p-erg—t—a—s Name:
Address:.$a6u,tx Address:
City: via State: Ft City: State:
Zip: uonr Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: K 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 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.
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 nonresidential use
WARNING TO OWNER:Your fallure 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.
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Signature of Own r/Les a/Contractor as Agent for Owner Signature of Con acto V
icense Holder
STATE OF FLORIDA STATE OF FLORIDA yn n � A_�
COUNTY OF— COUNTY OF— Y y L(C
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
K Physical Presence or Online Notarization K Physical Presence or Online Notarization
this 4 day of thi 202L by s J$day of J 2021-by
JOnaWr Surratl �O Ity� ` �ona�hon sur.�n Jo n
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
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