HomeMy WebLinkAboutBuilding Permit Application 8312 Belfry - Feb 3 2022 - 10-03 AMAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 8312 BELFRY PL, PORT ST LUCIE, FL
Property Tax ID #: 137304 Lot No.
Site Plan Name: POD 28 AT THE RESERVE LOT 4 OR 4104-1996 Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacing 2 existing curb mounted skylights with new skylights
Both of the new skylights are Sun-Tek MDCMA Curb Mounted Skylights
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
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: $ 1,225 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Thomas L Millette
Name:
Cody Rhea
Address: 8312 Belfry Place
Company:
FIXD Roofing LLC
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 413-531-97" E-
Mail: 41sujo@gmail.com
Address:
5870 Mustang Circle
City:
Zip Code:
Phone No
Port St Lucie State: FL
34987 Fax:
772-618-3493
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail fixdroofing@gmail.com
State or County License CCC1332497
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
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with Homeowners
your 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 attorney before commencing work or recording our Notice of Commencement.
Signature of Contrac or - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF,1�
Sworn tp (or affirm d) and subscribed before me of Physical Presence or Online Notarization
this day of G 202Z-by C.,j
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
r
Commission No. �IU1�50 (Seal) r9' tisLANDEPASCAL
�
;=
NoWry Public - Stale of NMI,!
commissionitGG195870
My Comm. Expires Mar 13, 2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Re`v10/12/21