HomeMy WebLinkAboutAPP BAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
�J� -
�' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:1772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: James Bausell
PROPOSED IMPROVEMENT LOCATION:
Address: 7259 Reserve Creek DR Port Saint Lucie, FL 34986
Property Tax lD #: 3322-601-0006-000-5
Lot No. 5
Site Plan Name: James Bausell Block No.
Project Name: larneslI
DETAILED DESCRIPTION OF WORK:
Installation of hurricane protection products on ( 3 ) openings
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
—Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 18,824.86
—Gas Piping
Sprinklers
X Shutters
Generator
Sq. Ft. of First Floor:
Windows/Doors — Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name James Bausell
!Name: Noreen Rayner
Address: 7259 Reserve Creek DR
Company: Storm Smart of Southeast FL
Address: 4047 Okeechobee Blvd Suite 106
City: Port Saint Lucie State: EL
Zip Code: 34986 Fax:
City: West Palm Beach State: FL
Phone No. (772) 882-8742
Zip Code: 33409 Fax: (844) 330-8277
E-Mail: jim.bausell@gmail.com
Phone No 561 229-0048
Fill in fee simple Title Holder on next page I if different
E-Mail permitting0stormsmartse.com
from the Owner listed above)
State or County License CRC1332755
If value of construction is 25M 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:
MORTGAGE COMPANY: _X_ Not Applicable
Address: Address:
City: state: _ City: State: _
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
)WNFR/ CONTRACTOR AFFmVIT-Anniir ,—i. h-6o meAer,.,.6mm.�....mu...d..r6e......v ....w o....n...,..... �.w�...ew
I cerdfy 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 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 commencine work or recording your Notice of Commencement.
Sire of Owner/Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
X Physical Presence or Online Notarization
this 25 day of Tanuary 2020 by
this 25 day of January 2020 by
James Bausell
Noreen Rayner
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification_
Personally Known OR Produced Identification X
Type of Identification
Type of Identification
Produced
Produced DL
ature of NotlyPublic- State of FfOrotary Public-
(Signature of No .yPueb1
Commission NO. 3
;y".`.. A IGSA ARTS
t{y�agy PUBIio-Snte
'CgflNniaaion
_ Commiaeion
ission No. 3 My Commie
t HH 188
I $
My Commission ExPi
August
a
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED