HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
8/4/2016 Permit Number:
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RECFE'11
Building Permit Application AUG 1 1 2016
Planning and Development Services
Building and Code Regulation Division PERF5411TTiNG
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Window/door
,PROPOSED IMPROVEMENT LOCATION:
Address: 360 NE Solida Dr. Port St. Lucie, FI. 34983
Legal Description: RIVER PARK-UNIT 9-PART C BLK 72 LOT 32 (MAP 34/28N)(OR 3864-74)
Property Tax ID#: 3419-570-0010-000-0 Lot No. 32
Site Plan Name: Block No. 72
Project Name: Chite
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: :.
Replace all windows and sliding glass door - G�Ctss
CONSTRUCTION INFORMATION: '.
Additional work toe e orme under this permit—check a appy:
❑HVAC Ei Gas Tank Gas Piping _Shutters ✓ Windows/Doors
P g
Electric 0 Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 9000.00 Utilities:InSewer 0Septic Building Height:
OWNER/LESSEE: .'CONTRACTOR:_
Name Carl Chite III Name: Richard N. Bartholomew
Address:360 NE Solida Dr. Company: See The Difference, Inc.
City: Port St. Lucie State: FI Address: 503 SE Nome Dr.
Zip Code: 34983 Fax: City: Port St. Lucie State:FI
Phone No.772-521-5563 Zip Code: 34984 Fax: 772-777-4084
E-Mail: Phone No. 772-807-2961
Fill in fee simple Title Holder on next page(if different E-Mail: office@seethedifferenceinc.com
from the Owner listed above) State or County License: 26293
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
gnature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA1 STATE OF FLORIDA(s
COUNTY OF ST. Luca a COUNTY OF 1' • LU I�
The forgoing instrument was acknowledged before me The forgoing instruent was acknowledged before me
this .r5 day of Pt 20 Uby this-5day of 20 by
21.r.61rd V� &4,61Me,
(Name of person acknowledging) (Name of person acknowledging)
&,bam LA"(LU)ab �?
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known V/011 Produced Identification Personally Known -"*'OR Produced Identification
Type of Identification Produced Type of Identification Produced
pV Py"• ro:�""..... (BARBARA WATS011
Commission No. •°a�'��•�•-9c�e�1gRBARA WAT � fission No.
MY COMMISSION#FF155600 +�1, a;= MY COMMISSION#FF1556
Pr rEXPIRES Aug
(407)395.0153 FloridallotaryServlce.com
Revised 07/15/2014 (407)385.0153 FlorldallotaryServlce.com
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS