HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Sim
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
230014rginia Avenue, Fon` Pierce R 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: WmTW U.'j — o � _V\L-->-)
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PROPOSED IMPROVEMENT LOCATION:
Address: 5907 Travelers Way, Fort Pierce FL 34982
Legal Description:
Property Taxto #:3410-503-0072-000-7 Lot No.
Site Plan Name:
Project Name: Munoz Donna
Setbacks Front Back Right Side: Left Side:
Block No.
I DETAILED DESCRIPTION OF WORK: III
Replacement Windows CX(7-)
I CONSTRUCTION INFORMATION: III
Gas Tank [:]Gas Plping _ Shutters ® Wlndows/Doors
0 Plumbing ❑Sprinklers []Generator El Roof
Total Sq. Ft of Construction: t S. Ft. of First Floor: _
Cost of Construction: $ 131 T DQ • Utilities: Sewer QSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Munoz, Donna
Name: Sam Ochstein
Address: 5907 Travelers Way
City- Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No,
Company: Newsouth Window Solutions
Address:2526 Okeechobee Blvd.
City: West Palm Beach State:FL
Zip Code: 33409 Fax: 561-478-4100
Phone No. 561-712-9000
E -Mail: westpalmbeachC newsouthwindow.com
E -Mail:
NII in fee simple Title Holder on next page ( If different
from the owner listed above)
State or county uoense: CRC1330822
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required,
DESIGN ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City
ZIP: Phone:
Zip: Phone:
I certtf"hat no work or Installation has commenced prior to the issuance of a permit.
St. Ll�cle CouMv makes no repreggglon that is granting a apeermit will authorize the permit holder to build the subject ssttrr1i�cct�ure
which B In conflict with a�Y applicable Home Owners Association rules, bylaws or and covenantsthat may rest Hct or pSIM such
structure. Please consul wtth 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 CounttyAmendmerlts.
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 workgr recording ur Notice of Commencement.
4so'-�s
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Signature of Contractor/License Holder
Signature of Owner/ Agent/ Lessee
STATE OF FLORIDA �Q
COUNTY OF uxA+�
STATE OF FLORIDA F
COUNTY OF i/Y�,i lJt_i
The forgoing inst ment was acknowledged ¢efore me
this 1r� day of 20 �7 by
The forgoing instr ment was acknowledged before me
title day of ILc a 20_W by
_Idnna mitiKfsz
OCIL5f e tit
(Name of person acknowledging)
(Name of person acknowledging)
IL
(Signature of Notary Public- State of Florida)
(SignatureNotarry/Public- State of Florida )
Personally Known ORPrc_,d�ur�,d`� Idpglficatbn
Personally Known ^ OR Produced Identification
Type of IdentificationProducedd/v • (�tiI C_
Type of Identification Produced
Commission No. FF 2-9 Me (seal)
Commission No.FP VOA (Seal)
MY COMMISSION N FF928006 F '
Revised 07/15/2014 EXFIRES Oc1d Q 15, 2019 MY COMMISSION # FF938006
EXPIRES'. Oclob> I5, 2019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
<!INewSouth
WINDOW OtunONS
Made in eFslo1ri�da for Florida Homes
To [)Z? n 1 A kK I/ A'D
Ory
Ste.
2526 Okeechobee Blvd. a West Palm Beach, FL 33409-4006
561-712-9000 •561-4784100 fax
wwww%.(N(ewSouthWindow.com Lic#CRC-1330822
Date 7-Z( -O
Business (NI Mrs)
FA
Replacement Windows • Entry & Patio Doors • Storm Doors • Impact Resistant Windows & Doors
WHOLESALE & RETAIL WINDOW CONTRACT
NewSouth window Solutions agrees to measure, manufacture or furnish and service the following custom made windows for the amount STIPULATED BELOW:
All NewSouth Vantage Series Windows Include Double Pane, Low -E glass with Argon gas, and 12 point fusion welded corners
All Vantage windows are sealed and va�Lnor argon retention.
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LOW-EGLASS: 366GLASS ❑340GLASS
OBSCURE GLASS Ll O TEMPEREDGLASS ❑VES NO
ALL SASHES ARE ARGON FILLED -WITHOUT EXTRA CHARGE
LOCATION: LOCATION:
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GRIDSTYLES ❑STANDARD
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BuyXS Slgreturt
TOTAL NUMBER OF WINDOWS ON TH15 ORDER_ TOTAL DOORS: "Subject to NewSouth field engineering and approval.
BUYER'S RIGHT TO CANCEL Total price* $
BUYER MAY CANCEL THIS CONTRACT BY DELIVERING WRITTEN NOTICE
TO THE SELLER AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD Down payment. $ C.v
BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. BUYER MAY Delivery/commencement $ 0
USETHIS CONTRACT AS THAT NOTICE BYWRITING'1 HEREBYCANCELw Balance due upon final $y4so
AT THE BOTTOM AND ADDING BUYER'S NAME AND ADDRESS. THE window/door installation.
NOTICE MUST BE DELIVERED TO THE SELLER ATTHE ADDRESS SHOWN
ABOVE. L7 Bank Financing Cash on Completion
All material Is guaranteed to be as specified. All work is to be completed in a workmanlike manner according to standards and Practices. This contract Is
valid only with proper signatures. NewSouth shall not be held responsible for time and material delays, strikes, acts of God or any other matters beyond
its control. NewSouth is not responsible for any pne lsting structural conditions No other work to be done all other work to be excluded. Owner
agrees that the equity in this property is security for th a .j5ince this contract calls for made to order goods, it is not subject ro cancellation
except as stated above. Start Installation approximately` cweeks from above date. Verbal promises can Cause misunderstandings, therefore
this contract constitutes the entire understanding of the parties, and no other understanding, collateal, Verbal or otherwise, shall be binding, unless
signed bo New uth to remove and haul away all job related debris. 'All sales and discounts allotted. All charges included above.
Tha youfcryou r
x 17:oy rC4,eF4 Col,
Buyer's Signature NewSouth Representative
Buyer's Signature
NewSouth Manufacturing Authorized Officer