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Home My WebLink AboutBuilding Permit Application ALL APPLICABLE(INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: / ' � I �o Permit Number: 0 Id Building Permit Application REQ EIVED Planning and Development Services �0'7 Building and Code Regulation.Division JUL 2300 Virginia Avenge,Fort Pierce FL 34,982 Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: Shutter FftOPQSED;IIVIPRQIlENrtENT LOCATSIQ;N , ` ih.''g5 {vF, s � , y Address: 2559 RAINBOW DR,FORT PIERCE,FL 34981 Legal Description: 5 36 40 FROM NE COR OF N 375 FT OF S 1/2 Property Tax ID#:3405-414-0007-000-2 Lot No. Site Plan Name: Block No. Project Name:CHRISTOPHER MOURA Setbacks Front Back: Right Side: Left Side: Y� DETAILED DE�SCRIPTION�OF WORK ' P v lrjREPLACE 12 WINDOWS I h'1 CL t ACI(litiona'wor to a er forme under this permt-ch ecK a apply: OHVAC Ei Gas Tank Gas PipingOGenerator Shutters Windows Doors Electric El Plumbing OSprinkiers Roof Total Sq.Ft of Construction: S Ft.of First Floor: Cost of Construction:$ 14,994 Utilities:0Sewer ElSeptic Building Height: 0111/NER/LEtSSEE 3, } t $x • zCONTRACTC�RIN Name CHRISTOPHER MOURA Name:SCOTT PETAK Address: 2559 RAINBOW DR Company:STATEWIDE WINDOWS &DOORS,INC. City: FORT PIERCE State: FL Address:3417 W WOOLBRIGHT RD Zip Code: 34981 Fax: City:BOYNTON BEACH State:FL Phone No. 321-439-9113 Zip Code: 33436 Fax: E-Mail: Phone No. 561-202-1412 Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner listed above) State or County License:SCC131151898 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. S gPPLEMENTACONSTRUCTIQN LIEN LAW lNF4RMATION g' L 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•covenantsthat 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 ftjflmtinspecticin. If you intend to.obtain financing,cons t wi leril or an attorney before comm w or recording our Notice of Commencement. a f 0 gent/Lessee Signature of a or/License Holder STATE OF FLO ID STATE OF FLORIDApj, COUNTY OF 1 COUNTY OF The fo ng instr m t was acknowledged before me The forgoing instrument was cknowledged before me -'day of L 20 by this�day of 'r 1 20_17 by (Name of per/son acknowledging) (Name of p rson acknowl ging) (Signature of Notary Public- tate of Florida) (Si nat re of Not - 1 ARDINI RersonlF. RITT Nolar P�up Ic-��ate t Florida _ kWFrrdMI Wt]!.' ion Personally Known = �_ rocWhftirts�i)`1'ff��I Type of siti ttQmli'rad SS10N#FFType of Identifica �..; `�Q• EXPiRE:S May 17.2 %/;;oFF��:`'�Commis saMce. Commission No. 11110 Bonded throug atl al Notary Assn. Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS f J - .. 561-202-1412 t .,rp statewideimpactwindows maii-com { =��k �k � � statewideimpactwindaws.com r f s: 'r D e a D O e til Farriify Owned&'Operated ,. 1 3431 West Wooibright Road „ Boynton Beach,FL 33436 r STATEWIDE WINDOWS&DOORS Lisc#SCC131151898 5 iV. s G J-.r( Pmd'to,- - . �'!/i^zi F to -7— PhoneIII *' - �j r ?�!�'"7 (� o, C"�bGW / Email CKM '7 O-7 '7 C-1 Address_ Z 3 ` j �1 �ara- Qi PCCt R 7 'W1 CT y�'`4, Com # WiDTH HEIGHT TYPE # WIDTH HEIGHT TYPE 2 0 3 9— l� Jjr� 12 2-y RA j 0 ` 3 )- /W Z 6rw 1. j 13 4 �p w 0� S 14 5 0 j 4 ge 15 s f7 I�l� 13��P L 16 f 7 �� ! �. � 2 Q 17 18 9 q ci 115 Yz a r- /W 3 19 10 Z d n /N�'i� 20 ALLPAYMENTSMADETO AATEjWIDEWINDOWS&DOORS Total Number of Windows !— Total Sale Price $ G `t` Total Number of Doors Lj j'o-- `1 0.3 Z' HOA approval needed S NO -We Deposit $ Impact NO insulated YES 25%upon commencement $ Frame type AL 3 'VINYL ow frame color Hi BRONZE } Final balance at completion$ Gpss GREY BRONZE OW-_ TLE i ti G�/ ls(dra partite}YES NO j installation does not include painting of any kind.We will repair any stucco work Brand SIM BH(y�, ��J Lawson f or any other repairs needed directly part of the window and door installation. Financing CYE-- NO i Unforeseen conditions of bucks,windowsills,frames and alarm contacts are the responsibility of the homeowner. Customer Initial Statewide Windows agrees to measure,supply and install the products listed on this quot or the' mount listed above.All work will be completed in a professional workman like manner and according to the manufacturers recommendationd in accordance with all Florida building codes.Statewide Windows will warranty our n a installation against defects fp ars in addition to all manufa &war nties on the supplied products. Statewide Windows Is not responsible for manufacturer dela acts of God 6e any matters beyond our control.This order is for"made to order"goods and can not be canceled except as stated below. All change orders most be in writing o avoid any misunderstandings and must be signed upon by both parties.Statewide Windows will"dispose of and recycle 11 waste material from the removal of the existing windows and doors and all packaging from new products. Statewide Windows collects sales tax as required by the State of Florida. Final payments due in full prior to final inspection. BUYERS RIGHT TO CANCEL Buyers may cancel this contract by delivering written notice to the seller anytime prior to midnight on the 3"'business day after the date of this transaction.Buyer may use this contract as that notice by writing"I hereby cancel"at the bottom and adding the buyer's name,address phone number and signature.Notice must be delivered to the address above.At the end of the 3 day period this contract is in full effect and can not be canceled. CUSTOMER ACCEPTANCE OF PROPOSAL I have reviewed your proposal and hereby indicate my acceptance with my signature as per the detalls,specifications and'amounts listed above on this proposal.I agree to the proposed terms nt and will release the funds as listed herein. 1 ts/ l Authorized Sionatorv:Name 0AP-tStD,f(r,?2 J 6u21� Sign re: Date Date Authorized Representative: i