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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3' J / F SCANNED Permit Number: >9oy' 01,577 BY EE� St. Lucie County Building Permit Application APR 2 3 2019 Planning and Development Services Building and Code Regulation Division Permitting Department 2300 Virginia A venue, Fort Pierce FL 34982 St. Lucie County, FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial K esl en Ia PERMIT TYPE: Window Modification Address: 7802 Long Cove Way Property Tax ID #: 3321-803-0088-000-0 Lot No.84 Site Plan Name: Reserve Plantation - Phase IIA Block No. Project Name: Modify existing window opening to accept taller impact window Additional work to be performed under this permit— check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction:. Cost of Construction: $ 7500 Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: CtW ER„LESE :: GGINifRAC? Vso Name David A & Arlene Wilkerson Name: Joseph Zangre Address: 209 Truitt Ave Company: The Z Group,LLC City: Milford State: L Zip Code: 19963 Fax: Phone No.302-228-3414 Address: 2586 SE Stonebdar Way City: Stuart State: FL Zip Code: 34997 Fax: 772-286-7152 Phone No 772-263-0621 E-Mail: dawilkerson@vedzon.net Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail zgroupllc@bellsouth.net State or County License CRC 017467 If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. U Q E�tlIEN A! GAN TRt3 !MOMNFOk3M T1f3N DESIGNER/ENGINEER: _ Not Applicable Name: 5oVW VV CFAINv,A I&A" Fa MORTGAGE COMPANY: X Name: Not Applicable Address: t4 0, P,t(fi-( wA I Address: City: 4TV State: min Zip: 3uAq� Phone '117 - K- 4 143 City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Not Applicable Name: _ BONDING COMPANY: Name: Not Applicable 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/ Lessee/contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF Al7s­x012� The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this _)_?/day of /77rrr'c 20 / T by this Z$ day of ir-vrt7-4,L 20_1� by f�'L-�LfiILUDe' Zsr-�ear' ('c�rr,.uot 7??�+ec.�x' Name of person making statement. Name of person making statement. Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Type of Identification Produced � � / Y/t�&1.i/ 21— �.5�-G'cCLC—' Produced /�t � �/ T i'£l 1& 4_ (Sigfialire of Notary Publ' State u of Notary Publi ate of Florida ) ,, oi>n.00�t GERTRUDE ZACC +• Notary Public -State of q Commission No. (� G 0 i 9 /�f% I lyric 'SSiOn No. Ci G O %� / �� ;='o'"` "aI) GERTRUDEZACCI Commission N GG 07147 =�; .os. NotaryPublic -State of �j My Comm.Expires Aprl ,2021 Commiss1on#GG075 *"„•^ BonCedihrou hNaGonal M1cl SUPERVISOR REVIEWS FRONT ZONING PLANS VEGETATION SEA COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev. 2///19