HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2-25-22 Permit Number:
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1 ` " 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 #i: 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 -
�� I �1) i I W
?I (` -,-v „ t> 7
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
Electric — Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 5,000,00
— Windows/Doors Pond
— Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic
OWNER/LESSEE:
Name Peter E Simmons
Address:8140 Links Way
City: Port St. Lucie FL
State: _
Zip Code: 34986 Fax:
Phone No,
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
CONTRACTOR:
Name: Jeffrey Walsh
Company: Liberty Impact Windows and Doors
Address:257 SE Monterey Road East
City: Stuart
State: FL
Zip Code: 34994
Fax:
Phone No 772-444-7112
E-Mail-------
State or County License CGC 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:
DESIGNEQ G11rGlwtern_
Name:
-"""'•• Not Applicable
Address:
City. State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City.
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT• A lice
I
MORTGAGE COMPANY:
Not Applicable
Name;
Address:
City:
Zip: ----- . Phone: ------------------
State:
BONDING COMPANY;
Name:
Not Applicable
Address:
City:
Zip: —____ . Phone:
"onh5nerebymad to
certify that no work or installation has commenced prior to the issuance obtain a permit
Permit to do the work and installation as indicated.
St Lucie CouA, makes no representt,��tion that is
which Is In conflict with any ppiipble Home granting a permit will authorize the rmit holder to build the subject structure
structure- Please consult wit your Owners Association rules, bylaws or an covenants that may restrict or u
your Home Owners Association and reveeH,
In consideration of the granting of this requested permit, I do herebyYour deed r any restrictions wh(� May apply.
such
e that
in accordance with the approved plans, the Florida Building Codes and S Lucie County In all
Amendments, Y pPiY•
Rees, Perform the work
The following building permit applications are exempt from undergoing a full concurrency review: room add
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessoryitiod
"1TARNifIIIC TO OV1► M YOUR FAILURE uses to another non-residential use
TV"" � THE JOB
SFTE TO E THE TY. gOTOF COMMENCEMENT MAY OF RESULT13E Y
JOB SriENIUSTFIRST Old PAYING
MM YOUR LENM A RNE3' �ECiION. IF YOU INTEND TO OBTAIN VA QED AND
/`\ i r� IIG YOUR OF CO..a CONSULT
Signature of er/Lessee �Conh ctor as Agent for Owner
STATE OF FLORIDA
COUNTY OF "v1 A, 7_- The
this Z rgoing instrument was acknow!
' " 48Y of ,ten ed by re me
Name of POW making statement.
Personally Known OR Produced IdepRA
Type of {dentification
Produced NOTARY PUBLIC
STATE OF FLORIDA
(;OmniAt GG949120
Expires 3/29/2024
(SWature Notary pubikf Stale of Florida )
Signature of
STATE OF FLORIDA
COUNTY OF
The forgoing (nsbllnwm was acknowledged
this Z ;z� lday of tAf—, me
by
Name of person nuldng statement
Personally Known OR Produced Identification
Type of identification ttly
Alicia J. kM Produced
NOTARYPUg�
r STATE OF FLORIDA
Conv►yi GG94912o
Commission No. (--6cit. 5FfQLutC Wrnoiary�Publio- State of Florida) -
�l`t�rT
(Seal) Commission No. ='fly 9rz r
--- (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
)ATE COUNTER REVIEW REVIEW REVIEW REVIEW MANGROVE
Wr`Clurn REVIEW REVIEW
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