HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/1/22
Permit Number:
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: Duct work
PROPOSED IMPROVEMENT LOCATION:
Address: 2508 NW SEAGRASS DR, Unit 4A, PALM ('.ITY, FL 34990
Property Tax ID #: 4425-601-0004-000-0
Site Plan Name: Duct work - Germani
Project Name: Duct work -Germani
Duct work. Drawings attached
New Electrical Meter
Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
x Mechanical
Electric
_Gas Tank
_Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 51925
_Gas Piping
_Sprinklers
Shutters
_
_Generator
_Windows/Doors
Sq. Ft. of First Floor:
_Roof
Lot No.
Block No.
_ Pond
Utilities: _Sewer _Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name James G Germani & Jacey B German!
Name: Paul Cloutier
Address:2508 NW SEAGRASS DR, Unit 4A
Company: FPL Home Services
City: PALM CITY State: FL
Zip Code: 34990 Fax:
Phone No. (774) 238-0669
Address: 6001 Village Blvd
City: West Palm Beach State: FL
Zip Code: 33407 Fax:
Phone No 561-747-5740
E-Mail: Jimgermani@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailjordana.whitter@fpl.com
State or County License CAC1820030
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:
Name.
_ Not Applicable
MORTGAGE COMPANY:
Name:
— Not Applicable
Address:
Address:
City:
Zip:
Phone
State.
City:
Zip: Phone.
State:
FEE SIMPLE TITLE
Name:
HOLDER,
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
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.
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 attorney before commencing work or recording vour Notice of Commencement.
Signature of Owner
ctor as Agent for Owner � Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLO IDA
Sworn to (or affirmed) and subscribed befo me o Swo/rn to (or affirmed) and subscribed before me of
a/ Physical Presence or Online No ri atipn J Physical Presen .e or Online Notarization
this day of 202 y this day of 2027 by
Paul CloutierLa hn i Paul Cloutier
Name of person making statement. Name of person making statement.,; b o
.- / i
Personally Known V/ OR Produced Ide ti it o Personally Known �/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
de
�. --
(Sign t re of N tary Public- State of Florida a� �b` (Signa ure of Notary Public- State of Florida)
10
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