HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/21/2022 Permit Number:
1. LLI L
3J
" Building Permit Application
Planning and Development Services
Budding and Code Regulation Division commercial Residential XXXX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Window/Door Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 360 EUROPEAN LN
Property Tax ID #: 3410-503-0192-0004 Lot No.
Site Plan Name: PALM GROVE S/D BLK G LOT 3 (0.11AC) (OR 3179-2827) Block No.
Project Name: Clink
4 DETAILED DESCRIPTION OF WORK: I
Demo existing screen walls Install new glass room on existing rear lanai
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 J Shutters
_ Electric —Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 15785.00
OWNER/LESSEE:
Name Naomi J Clink (TR)
Address: 360 EUROPEAN LN
City: Fort Pierce, FL State:
Zip Code: 34982 Fax:
Phone No. 724-683-0407
E-Mail: acehogmanl @gmailcom
_ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Jonathan Starratt
Company: White Aluminum
Address:2933 SE Gran Parkway
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No 772-692-0090
E-Mail njohnson@whitealuminum.com
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: ^ Not Applicable
Name: S"Jele En r, Tdffre Roane
Address: 42t;sconcl
City: v— State. FL
Zip: snez Phone
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Nat Applicable
Name:
Address:
City:
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 representatlon 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 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 commencine work or recording vour Notice of Commencement.
ature of Ownil LesVe/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFv--
Sworn to [or affirmed) and subscribed before me of
K Physical Presence or Online Notarization
this 7A day of,,6.t'ZtAw'y,J 204& by
ionav,>„ S arsan I l l[ .LV 1 [.t
Name of person making statement.
Personally Known K OR Produced Identification
Type of Identification
Produced . n
ic-
Signature of Con facto V
icense Holder
STATE OF FLORIDA
COUNTY OF m—
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or online Notarization
thls Z.L. day of _ �1Q r Lt r 2027 by
JonaVan Slarta!1 ,1 r}nr,+n .
Name of person making statement.
Personally Known x OR Produced IdenbGcatlon
Type of Identification
re of Nothd Public- State of
.a. rw NotarY Fub!-C S!4le of Fi ea -
Commission No. o�a5702 F[Seiiliela Staples �om fission No. cnzaslna ,rr" Sekf}"n
M, Comm-+e1on GG 2751 r _9/ !' Age!a Staples
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