HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONBuilding Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential x
PERMIT APPLICATION FOR: Paul Collins
PROPOSED IMPROVEMENT LOCATION:
Address: 2100 NW Greenbriar LN, Palm City, FL 34990
Property Tax ID #i: 4425-701-0037-000-7
Site Plan Name: Collins
Project Name: Collins
DETAILED DESCRIPTION OF WORK:
Replacement of Windows and Doors with Impact
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 161000.—
OWNER/LESSEE: .
— Windows/Doors
Lot No.25
Block No. 37S
— Pond
_ Sprinklers _ Generator Roof
— . Pitch
Sq. Ft. of First Floor:
Utilities: — Sewer _ Septic Building Height:
Name_ nun (101 1 ns
Address: 2 ►i)b n[y/ r�,r�,-�1�finf del
City:
State:
Zip Code: Fax:
Phone No. 3oa,3�4T—
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/17/22 Permit Number:
S'i-C CAI C L L � -
r
CONTRACTOR:
F
e: Jeffrey Walsh
any: Liberty Impact Windows and Doors
ess:257 SE Monterey Road East
City: Stuart
State: FL
Zip Code: 34994 Fax:
Phone No 772-444-7112 —
E-Mail
State or County License CGC 1528257
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:
DES IGNER/ENGINEER: X Not Applicable Name: MORTGAGE COMPANY:
Address: Name: Not Applicable
Zip: State: Address:
p: Phone City:
- _
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Zip: Phone: State:
Name:BONDING COMPANY:
Address: Name: Not Applicable
i
City: Address: Zip:
Phone: i City:
OWNER)CO Zip:-- Phone:
CONTRACTOR! AFFIDVIT: Application is hereby made to obtain a permit to do the work and
I certify that no work or installation has commenced
St. Lucie County makes no representation that is gaanting a permtwill authorize then ins
certify indicated,
which rs in conflict with anY ,Applicable Home Ownersp
structure. Please consuh wAssocratton rules, bylaws or and er it hold hat may the
subject structure
Your Home Owners Association and review your deed for any restrictions y which may apply.
in consideration of the granting of this requested permit, I do hereby agree that I will, in all respects,
in accordance with the a ct or P Y ibit such
pproved plans, the Florida Buliding Codes and St. Lucie County Amendme .
The followin buridin perform the work
g g 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
"1'1►ARNING TO OM►NM YOUR p itrons,
ROVEN A"RE TO RECORD q NOTE another non-residential use
TN7CE FORA ENTS TO YOUR COMME11KpM
POSTED ON TICERTY, A NOTICE OF C0111MEN ENT MAY RESULT IN YOUR PAYING
NrtTN YOUR llE11pE jft SITE RE Y FIRST INSPECTION. IF YOU ENT MUST BE '4 RNE1r BEFORE RECORDidIIG YOUR �M08TAIN FINAv CONSUILT i
- 6"acut r or Vwner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFThe
11 /1 ra
the forgoing instrument was admowl
of
73' re me
Name of person making
Personally Known 7--)(, OR Produced Identification
Type of Identification
Produced Alic+a J.-R b—
NOTARY
STATE OF FL
J Corxrw GG901
(Signature of Notary Public- State of Florida) • Expires 3128/2p
Commission No. -_-C)L41,-2(Seal)
REVIEWS FRONT
COUNTER I REOVlEL"Cl�
DATE
RECEIVED
DAT— E
COMPLETFn
Signature of C tractor/Ucense
STATE OF FLORIDA
COUNTY OF .rr �r
The forgoing instrunfent was acknowledged before me
this � ''dayof TA , .
20 E by
-C ,A
Name of person making statement.
Personally Known
Type of Identification OR Produced identification
Produced Akcm J. F
'A NOTARY PUBLIC
STATE OF FLORM
COMMP GGW912c
(Signature of Notary Public -State of Florida) • Expires 3/29/207,
Commission No. 2
e r
(Seal)
SUPERVISOR PLANS VEGETATION
REVIEW PLANS
REVIEW SEA TURTLE MANGROVE
REVIEW