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Home My WebLink AboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: /' 2 7. 17 Permit Number:�— REC > Building Permit Application JUL - Planning and Development Services 2 7 412017 Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line A X ' w PMR` POSED 111GP,OtlEMEILOCATIC> I Address: qc) V Legal Description:CyvL �acL (,i9l1`7 'j�tk-jq LFJI "1 Property Tax ID#: c,(I I ow ] Lot No. /V Site Plan Name: Block No.? _ Project Name: P- (/\/ll—t7 Cl Setbacks Front Back: Right Side: Left Side:�,,, S Lv r�P�cue-rn�`I � ►�(�� outs �a- � ,vh�� s��- c s 1 p Iry£`m' d CO STRUCTI@ �INFORM;lT)ON Z' .. v Additional wor to be nertormed un ert ispermit—c ec all appy: HVAC Gas Tank E]Gas PipingMGenerator Shutters Windows/Doors Electric ❑ Plumbing Sprinklers Roof Roof pitch Total Sq. Ft of Construction: S . Ft.of First Floor: Cost of Construction:$ , , 90 Utilities:n Sewer[]Septic Building Height: r-� TZ ER''LESSEE � F. q g CONTRACTOR Name 's h Name: C� Address:_7 6i Company is City: State:a Address: -7 QWx)lb�i (Jit - Zip Code: Mgsl Fax: 90 City: 00 State:- Phone No. / ? 2• (a Zc2• Zip Code: W116b Fax: E-Mail: Phone o �1 1'� —AQ Fill in fee simple Title Holder on next page(if different E-Mail: �'I.t,'t5 cSTA`iG I�ICAP�vIL� 5 ry ��. from the Owner listed above) State or County License:136G 131115-IRM If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. t i yd fk E�1TALCQIUSTIl1CTIC}IV�L'I' SLAW"INFQRMATION yak X DESIGNER/ENGINEER. _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: hone: Zip: hone: FEE SIMPLE TITLE HO E _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: - Zip: V 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 thepermit 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, consul wit lender or an attorney before commencing work or recording our Notice of Commencement. )V ley Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contract License Holder STATE OF COUNTY OF ORIDA V1 COUNTY OF STATE OF FLORID &�A The fpp,r oing instrurngfft w s acknowledged before me The f r oing instrument was acknowledged before me this ,Gday of Gt.f 20 -?-;6y this day of 5jq�r ,20'by (Name,6f person acknow dging) (Narrfe of per n acknowledg• g) ignature of Notary Public State of Florida)" (Sig ature of Notary Pu ic-State o R01N� ON . tide 10,N Mate°1 Q125 a Personally Known roducel�en �tI& Personally Know 111110,PrggWya� ,q. q; Type of Identificat n fta,d tats pUb�° f 2124 Type of Identificatt n _ �B` t°lsslo at 22• 4 i DOmm :tAa Commission No. :t? y COmm� ' Commission No. °;son '11BWU 4II11111\\\ Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ' 561-202-1412 statewideimpactw�OWSO)gmail.com " statewideimpactwindows.com 3431 West Wooibright Road Boynton Beach,FL 33436 STATEWIDE WINDOWS&DOORS lisc#SCC13MIS98 Proposal t� Date, �' �l phane: "�` Submitted to ,e (/ r'1l i S Oso, Addgessp � d fa [r� Email `i 1T QC G�l1at11 i WIDTH HEIGHT TYPE # WIDTH HEIGHT ;TYPE Ssl T� '3 if f� a 3 L SIS 12 3 44S SW 3 3 � 3 S ! 13 � S .. 3 51' 14 '3 C 6 e s 3� 161 10S 3 .c 6 3 b 3 ( 5-41 16 r , ; 17 "3 18 6 EG s 3 19 10 G � t� S PS 20 ALL PAYMENTS MADE TO.STATEWIDE WINDOWS&POOR5 Tota{Number of Windows- Tc'tal Sale Price $ 6 Total Number of Doors HOA approval needed 5Y - $ YES_ SO%Qepofit= $ IinpacE NO Insulated YES 25%upon commencement $ 'n1r; Frame type VINYL : Window fra olor Hi BRONZE Final balance at completion$ Glass k� BRONZE LOW-E TURTLE Colonials(drawinseparate)YES Installation does not Include painting of any kind.We will repair any stucco work Brand. J- SIM'-BHI E 5 Lawson or,any other repairs needed directly part of the window and door installation. Financing 1! 0 NO Unforeseen conditions of bucks,windowsills,frames and alarm contacts are the Customer Initials X 'f responsibility of the homeowner. Statewide Windows agrees to measure,supply and install the products listed on this quote for the` mount listed above.All work will be completed in a professional workman like manner and according to the anufacturers recommendations and in accordance with all Florida building codes.Statewide Windows will warranty our installation against defects for S years In addition to all manufacturers warranties on the supplied products. Statewide Windows is not responsible for manufacturer delays,acts of God or 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 must be in writing o avoid any misunderstandings and must be signed upon by both parties.Statewide Windows will dispose of and recycle all waste material from the removal of the existing windows and doors and all packaging from newproducts. ; tatewide 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"r business day after the date of this transaction.Buyer may use this contract as that notice by writing"{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 details,specifications and amounts listed above on this proposal.I agree to the proposed terms of payment and will release the funds as listed herein. �p / Audzgd ionatarv:Name®GN�Hf �I 11114A Signature: > slate Auttarized Representativo: )f