HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dat,6: -3 ai IT - �ermit Number:
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p RECEIVED
Building Permit Application
MAR 219 2022
Planning and Development Services
Building and Code Regulation Division Commercial Resides%M unty
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: REMODEL/ADDITION
PROPOSED IMPROVEMENT LOCATION:
Address: 4708 PINETREE DR, FORT PIERCE, FL 34982
Property Tax ID #: 3402-605-0058-000-1. Lot No.
Site Plan Name: Block No.
Project Name: SEWELL REMODEL/ADDITION
DETAILED DESCRIPTION OF WORK
NEW FRAME ADDITION OFF REAR OF HOUSE TO PLAN. REPLACE ALL EXISTING WINDOWS IN HOUSE WITH NEW IMPACT
RATED WINDOWS. NEW/EXISTING ELECTRIC CHANGES TO PLAN. REPLACE FRONT DOOR WITH IMPACT RATED FRONT
DOOR.
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 X Windows/Doors _ Pond
x Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 500 Sq. Ft. of First Floor: 1500
Cost of Construction: $ 35.000 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:. ; 'CONTRACTOR:
Name MATTHEW SEWELL
Address: 4708 PINETREE DR
Name: BRIAN KONRATH
Company: ACME CORP OF FLORIDA
City: •FnRT PIFRCF State: FL
Zip Code: 34982 Fax:
Phone No. 772-403-3011 E-
Address: 7870 SE RIVER LANE
City: STUART State: FL_
Zip Code: 34997 Fax:
Phone No 772-341-4663
Mail: KONRATHAR@GMAIL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail OFFICE.ACMECORPFL(@GMAIL.COM
State or County License CRC058247
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.
r
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 TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
Not Applicable
BONDING COMPANY:
Name:
Address:
Citv:
Zip: Phone:
_Not Applicable
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 landPr nr aPfftt'nraai av hPfnra rnmmPnrinF wnrk nr rerording vnur Notice of Commencement.
actor- or- Owner Builder s applicable
Signature o(F__2�i
STATE OF
COUNTY
Sworn to,,11p�r affirme and subscribed before me of �ysical Presence or Online Notarization
thip 'day of 20RRby
Name of person making statement.
Personally Known k'___�_OR Produced Identification
Type of:Identi • do roduced
(Sii—natuF6 of Notary Public- State of Florida)
April Marie Palmer
Commission No (Seal)
��4p'PY Pu9`'i
=r;
Comm.:HH 155679
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My Commission Expires:
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ii
Aug.22, 2025
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