HomeMy WebLinkAboutBuilding permit app-incomplete detailsAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2-25-22 Permit Number:
L c-, i, L L — 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: Peter E Simmons
PROPOSED IMPROVEMENT LOCATION:
Address: 8140 LINKS WAY
Property Tax ID #: 3327-707-0005-000-8 Lot No.27
Site Plan Name: Simmons Block No. 36S
Project Name: Simmons
DETAILED DESCRIPTION OF WORK:
Replacement of windows with impact
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 _ Windows/Doors Pond
Electric _ Plumbing _ Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5,000.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Peter E Simmons
Name: Jeffrey Walsh
Address: 8140 Links Way
Company: Liberty Impact Windows and Doors
City: Port St. Lucie FL State:
Address:257 SE Monterey Road East
_
Zip Code: 34986 Fax:
City: Stuart State: FL
Phone No.
E-Mail:
Zip Code: 34994 Fax:
Phone No 772-444-7112
Fill in fee simple Title Holder on next page ( if different
E-Mail
from the Owner listed above)
State or County LicenseCGC 1528257
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/EN
�
G
Name: INEER: X Not Applicable
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name: Not Applicable
Address:
City:
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT•
MORTGAGE COIIIIPANY:
� No t Applicable
Name:
Address'
City:
Zip: __-_. Phone:
State: —
INOMNY
NAbONDBName:
Address:
City:
Zip: �__ Phone:
• Application is hereby made to obtain a permit to do the work and Installationasindicated.
i certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun makes no representation that is
which is in conflict with an a licabl Owners
Assoc
a permit will authorize the rmit holder to build the subject structure
Y RP a Home Owners Association rotes, bylaws or anrcove%nts that may, restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for an resider
In consideration of the granting of this requested permit, l do hereby agree that t will it all respects,ons which may apply.
in accordance with the approved plans, the Florida Building Codes and St Lucie County Amendments.
perform the work
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 OWNEW YOUR FAILURE TO RECORD A
TWICE FOR IMPROYEMENTS TO YOUR PROP NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
POSTED ON THE JOB SITE RE THE FIRST TY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND
WITH YOUR LENDER INSPECTION. IF YOU INTEND TO OBTAIN FlNANCEYG
ATT RNEY BEFORE RECORDING YOUR NOTICE . CONSULT
� i OF COMIIIF111Ctveur a
Signature of er/ Lessee/Contra or as Agent for Owner
STATE OF FLORIDA
COUNTY OF M A--,--/-i t,_j
The forgoing instrument was acknowledged before me
this Z`a nday of _
20s_ by
�F2�� 'AL-1 AL_<_��
Name of person making statement.
Personally Known ____�� OR produced id
Type of identification!
Produced NOTARY PUBLIC
STATE OF FLORIDA
C;wvr ! GG949120
"�i• t Expires 3/29/2024
(Signature Notary Public- State of Florida )
Commission No. L62L P EM (Seat)
- o %AflUdc>:or/ucense Holder --
STATE OF FLORIDA
COUNTY OF
Th9 ing Instrument was acknowledged before me
this of ',!At _j 20� by
Name of person making statement.
Personally Known OR Produced Identification
Type of identification ry Alicia J•
Produced �y Hill
NOTARY F'UgU
s STATE OF FLORIDA
CwwO GG949120
t arariarure,cmotarrppblic- State of Florida )
Commission No. CG6f?L• 9r" (Seal)
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