HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO+ MUST BE COMPLE i ED FOR APPLICATION TO BE ACCEPTED _
Date: / ' 7. Permit Number: — 4-3/
RECEIVED
Building Permit Application MAY 19 2017
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 Residential X
PERMIT APPLICATION FOR: Window/door
PROP:OSED.IMPROVEMENT LOCATION:
Address: 616 Willows Avenue Port Saint Lucie, FL 34952
Legal Description: RIVER PARK- UNIT 2- BLK 20 LOT 16 (MAP 34/22N) (OR 647-2682)
Property Tax ID#: 3419-510-0297-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front nl Back: N Right Side: 1U e�t Left Side: /'J_
DETAILED DESCRIPTION OF WORK
h
WINDOW REPLACEMENT 60
'�g,✓ �,1s !�/ 60Q��iJd.��S
CONSTRUCTION INFORMATION
Additionalworktoee
papply:: .�
r Orme under this permit—c ec a that
HVAC Gas Tank F]Gas Piping _Shutters indows/Doors
11 Electric Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Q
Cost of Construction:$ oo �nJ 077 0 Utilities: Sewer ElSeptic Building Height:
OWNER/LESSEE °CONTRACTOR;:'
Name Sonya M Schlesselman Name: Gary Whigham
Address:616 Willows Ave Company: South Florida Aluminum Products
City: Port Saint Lucie State:I'L Address: 4807 So US Hwy 1
Zip Code: 34952 Fax: City: Fort Pierce State:FL
Phone No.772-878-7079 Zip Code: 34982 Fax: 772-466-1074
E-Mail: Phone No.772-466-0913
Fill in fee simple Title Holder on next page (if different E-Mail: sfapbooks@soflalum.com
from the Owner listed above) State or County License: CRC1330712
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPP,L.EMENTAL CONSTRUCTI.0N' LIEN LAW INFORMATION!
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: 4,C'W A Name:
Address: 23 4+ Address:
City: /slur /- Stater City: State:
Zip: 2VZAA Phone: Q�/- '?w- 7Y 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 wit er orney ef?re
commencin or recording our Notice of Commencement.
Z�S/�
s
Sig tur Owne see/Contractor as Agent for Owner Signature of Con or License
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINTLUCIE COUNTY OF SAINT LUCIE
The for P�I,ng instrument was acknowledged before me The forgoing instrument was acknowledged before me
this L/ day of Ge 20 by this 16 day of�� 20 L7_by
GARY WHIGHAM GARY WHIGHAM
(Name of person acknowledging) (Name of person acknowledging)
(Signatur of Notary Public-State of Florida) (Signatur of Notary Public-State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type o , ' ation Produced Type of Identification Produced
MARY ANN ATONS� ) MARY ANN MAT��O)
Comm 5,0 o a: M a Commissio 1 ,'� ''" =
#FF95.i138 :^ MY COMMISSION to FF�J53138
24 2o2o
EXPIRES January 24.2020 ?o.;; ?' EXPIRES Januar
rn i n::rv:9urvu.r. ,:nr 140/1'04U'b1 Flaulallota•vS::rvu:c::on'
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS