HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONLi
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ////� �Z/ Permit Number:
Building Pe m t Application
Planning and Development Services , /
Building and Code Regulation Division Commercial v Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITAPPLICATION FOR:
PROPOSED. IMPROVEMENT,LOCATION: J
Address: .L1250 Al A&Y A/A 4 SOB diTGax/ �S• �i
Property Tax I D #: (D Lot No.
Site Plan Name: Block No.
Project Name:
DETAILEDDESCRIPTION OF WORK
Furnish and install impact, certified doors and wiHdewsat the attached Locations
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 endows/Doors _ Pond
Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 31,985.55 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE: ; ; ... .. - .
CONTRACTOR::
Name aV"l(A
Name:Joseph Labadie
Address:, U�
Company:Central Window
City: State:'��.
Address:4388 U.S. Highway 1
Zip Code: S Fax: N
City: Vero ;Beach State: FL
Phone No. - — —1153
Zip Code: 32967 Fax: 772-562-8309
E-Mail: la
Phone No772-562-8161
E-Mail.Joe(gcentralwindow.com
Fill in fee simple itle Holder on next page ( if different
from the Owner listed above)
State or County LicenseSCC131151288
If value of construction is 2500 ormore, 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 TITLEHOLDER: _ 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 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 attotAev before commencing work or recording vour Notice of Commencement.
Signature 6f Owner/ essee/Contractor as Agent for Owner
Sig ure df Co ctor/License Holder
STATE OF FLORIDA
OF
STATE F FLORIDA�Q `, R,, ,�
OF I
COUNTY
COU �-1 KAU'z—
V�Sw n to (or affirmed) and subscribed before me of
S n to (or affirmed) and subscribed before me of
al Presence'or Online Notarization
y ical Presence or Online Notarization
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thisy of )V1' r�n�7P� , 2024 by
this ay of 2024 by
Name of person makings ement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
oduced
Produced
ure of Nota .
(Signature of Wtary Public-(S ate N 6Yo� • '%�
Y P JULIE BARRETT
Commission No. ; ^��' Notary PubligS ofJ
Commission No. e Veal) •:
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Rev. 5/b/ZU