HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: lt O"( Ov Permit Number: I�OJ OI �V
RECEIVED
Building Permit Application MAY 2 9 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 154 SE Calmoso Dr, Port St Lucie, FI 34983
PropertyTax ID #: 3419-550-0026-000/3
Site Plan Name: Pisani House
Project Name: Garage Conversion
Lot No. 1
Block No. 64
DETAILED DESCRIPTION OF WORK: "
Remove existing garage door and frame new wall with single hung window - finish exterior to same as existing. Add new electrical circuit,
including 5 new duplex receptacles. Replace existing ceiling light with fan/light combo. Replace existing doorwith new door on west wall.
Add new 220v circuit and manual disconnect, install new 9601SBTU mini split ac/heat unit. Finish and trim room complete.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors
Electric _ Plumbing
Total Sq. Ft of Construction: 268
Cost of Construction: $ 9000
_Sprinklers _Generator _Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: ''" , '
CONTRACTOR:
Name Andrew Pisani
Name: same - Owner/Builder
Address:154 SE Calmoso Dr
Company:
City: Port St Lucie State: _
Zip Code: 34983 Fax:
Phone No. 772-301-3486
Address:
City: State:_
Zip Code: Fax:
Phone No
E-Mail: andrewpisani@hotmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
State or County License
If value of construction is $250D 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Address: Address:
City: State: City:
Zip: Phone Zip: Phon
FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY:
Name: Name:
Address: Address:
City: City:_
Zip: Phone: 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 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."
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Andrew Pisani
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
A.
STATE OF FLORIDA
COUNTY OF ►1 ,k .
COUNTY OF
The �Fgping instru ent was acknowledge"efore me
day 20. by
The forgoing instrument was acknowledged before me
this day 20_ by
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Name of person making statement. /
Name of person making statement.
Personally Known OR Produced Identification ✓
Personally Known OR Produced Identification
Type of Iden ' ' tion
Type of Identification
Produced
Produced
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(Signature of Notary
(Signature of Notary Public- State of Florida )
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Commission No.
Commission No. (Seal)
Commission a GG 207a8a ;?
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