HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
SCANNED Permit
tC c a;v d-a BY
St. Lucie County
Building Permit Applicatiol
Planning and Development Services
Building and Code Regulation Division
2300'Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial xxx
PERMIT APPLICATION FOR: Window/door
Address: 290 SW Prima Vista Blvd.
Legal Description: Book 0460 Page 2628
J
APR - 5 2018
Permitting Department
St. Lucie County, FL
Property Tax ID #: 3429-134-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name: St. Lucie Church - Windows
Setbacks Front Back: Right Side: Left Side:
Install Impact resistant Glazing over Stained Glass at Church
III'CONSTRUCTION=INFORIVIATION:, 11
E1HVAC
O Gas Tank
❑Gas
Piping
Li
Windows/Doors
Electric
Plumbing
I
Sprinklers
[:]
Generator
Roof
Roof pitch
Total Sq. Ft of Construction:
Cost of Constructions $ ' 0007. 00
S Ft. of First Floor: 12,227
Utilities:] Sewer 0septic Building Height:
OWNi R%IEESS�E x rr
CONTRACTOR, -
_ M
Name Gerald M Barbarito DDJCL Bishop
Name: Andrea Serraes
Address: PO Box 109650 I
Company: Serraes Construction General Contractor, Inc.
City: Palm Beach Gardens state: FL
Zip Code: 33410 Fax:
Phone No. 561-775-9500
Address: 1300 53rd Street
City: West Palm Beach State: FL
Zip Code: 33407 Fax: 561-848-8735
Phone No. 561-848-6607
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: aserraes@serresconstruction.net
State or County License: CGCO185453
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. " " �`
:SUPPLEMENTAL;CONSTRUCTION=UEN
m
LAlA/ INFORMIATION;
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DESIGNER/ENGINEER: _ Not Applicable
Name: lvArjzoet� SYlXFcP!r
MORTGAGE COMPANY: of Applicable
Name:
Address: 7¢r o /SGaI cf A)-rtf1
Address:
City: {�j� pn&4tlk , GA.c/ S State: LI:7_
Zip:;;s,4JBK Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/'CONTRACTOR AFFIDVIT: Application is hereby ;made to obtain apermit 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 Counttyy makes no representation that is granting apermit 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 Iwill, in all respects, perform the work
In accordance with the approved plans, the FloridaBuilding'.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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencina,work-ate recordine vour Notice of Commencement.
Signatur o Owner/ Lessee/Contractor as Agent for Owner
atureof Contractor/LicenseHolder
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17