HomeMy WebLinkAboutFitzsimmons Signed ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/16/22 Permit Number:
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= 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: Crawlspace repair
PROPOSED IMPROVEMENT LOCATION:
X
Address: 4201 Sunrise Blvd, Fort Pierce, FL 34982
Property Tax ID #: 33080 Lot No. *Prop card
Site Plan Name: Fitzsimmons Residence Block No. attached*
Project Name: Fitzsimmons Residence
DETAILED DESCRIPTION OF WORK:
Install jacks to support floor
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: 1800 Sq. Ft. of First Floor: 2959
Cost of Construction: $ 18,529.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jason Fitzsimmons
Name: Frank Vitale
Address: 4201 Sunrise Blvd.
Company: LRE Foundation Repair LLC
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-626-1265 E-
Address: 1115 S. Main St.
City: Brooksville State: FL
Zip Code: 34601 Fax: 352-754-4558
Phone No 352-796-0229
Mail: djasone_demented@yahoo.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail joy.craig@lregsi.com
State or County License CBC1256398
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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 your Homeowners 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 oE-a.p attorney_4efor*! commencing work or recording your Notice of Commencement.
V
ignat a Contractor - or -Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF Hernando
Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization
thisl6th day of March , 20 22 by Frank Vitale
Name of person making statement.
Personally Known x OR Produced Identification
Type of I ntification Produced
Signatu a of Notary Public- State of Florida)
11 (Seal)
Commission No. 1=
�►a�>i�., SHAWNA FLEMING
°�:
Notary Public -State of Florida
Commission # HH 119013
.?���mo, My Commission Expires
July 16, 2025
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