HomeMy WebLinkAboutBuilding Permit Application (2)ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 39982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential '
PERMIT APPLICATION FOR: r\", ,, �; �_� '>
PROPOSED IMPROVEMENT LOCATION:
Address: 2601 ARNOLD CT, FORT PIERCE, FL 34946
Legal Description: SHERATON PLAZA-L'N'1"T FOL'R REPI,AT 1,0'1'343
Property Tax ID #:1432-807-0101-000-5
Site Plan Name:
Project Name: DIANAD JOSL E
Setbacks Front Back:
Right Side: Left Side:
Lot No, 343
Block No.
DETAILED DESCRIPTION OF WORK: I
Replacement Windms (8)
Aaamonai worKto De ertormea unser this permit— check all apply:
❑HVAC Gas Tank []Gas Piping _ Shutters ❑'Windows/Doors
❑Electric ❑ Plumbing []Sprinklers❑ Generator ❑ Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 9.51)0.00 Utilities:0Sewer ❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DIA\AD JOSUE
Name: Sam Ochstein
Address: 2601 AR\OLD CT
Company: Ne�,rsouth WindoNN Solutions
City: FORT PIERCE State: FL
Zip Code: 34946 Fax:
Phone No. 772-332-2343
Address:2526 Okeechobee BIN d.
City: West Palm Beach State: FL
Zip Code: 33409 Fax: 561-478-4100
Phone No. 561-712-9000
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: NNestpalmbeach(a neiNsouthv indoNN.com
State or County License: CRC 1330822
IT va►ue or construction is -Ptwu or more, a KtcvKUtU ivotice of commencement is required.
1UPPLEMENTAL 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 witF},lend before
i
gor2ntorney
commencing work or recordig your Notice of Commencement.//��
Signature of Owner/ Agent/ Lessee Signature of Contractor/ License Holder
STATE OF FLORIDp STATE OF FLOR
�` �`
COUNTY OF �� COUNTY OF
1 he fo oing instrument w► s acknowledged before me The forgoing inst[ument was acknowledgedefore me
1n day
this day of 20 by this of 20_Lby
(Name of person acknowledging } (Name of person acknowledging)
(Signature of Notary Public- State of Florida } (Signature of Notary Public- State of Florida }
Personally Known OR Produ d Identification / _J Personally Known' OR Produced Identification
Type of Identification Produced '7—t — Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
SCHEIN
bIV' _' MMISSIOv' d :VG60U
Revised �i/l�/��]La/ EXPIRP�S: June n8.20?0 AQY COMMI�tiI_r,� _ a
EXPIRES. June
o a )b.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
QATE
COMPLETE
INITIALS