HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNE ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City:
City
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced priorto the issuance of a permit.
St. Lucie Countv makes no representation that is granting a permit will authorize the Kermit holder to build the subjects, rii ure
which is in mnffict with any applicable Home Owners Association rules, bylaws or ano covenants that may restrict or pro ibtt 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 with lender or an attorney before
rnmmPnrinE work or recordine vour Notice of Commencement. _ n -.
Of
STATE OF FLORIDA ` I STATE OF FLORIna
COUNTY OF %e- COUNTY OF 3 &CV l
The forgoing instrument was acknowledged before me The forgoing instrAment was acknowledged before me
this \�o!'PQ\\NO2a— . 20 L11 by this�dayof Gf.�_,20�by
mckAene_ 5u�tm 1 dam
(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 educed Identifi�ition l�-' Personally Known L_ OR Produced Identification
Type of Identification Produced `�lt'��ews. L LC - Type of Identrfiption Produced
Commission No. r{OI ���A,,=�� {Sea 1M p STONE mmission No. t C lKI
�f l MY COMMISSION k FF92600 iP;a� `KIM As oN ON 28re6
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:9`5I IT Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierre FL 34,992
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: rmya �— 1,�-, ���. III
PROPOSED IMPROVEMENT LOCATION: I
Address: 15339 TWIN BEECH PKWY PORT ST. LUCIE FL 34987
Legal Description: TREASURE COAST AIRPARK LOT 32
Property TaxlD #:4224-501-0032-000-1
Site Plan Name:
Project Name: ROBERT & MARLENE SANTOM
Setbacks Front Back: RlghtSlde: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacement Windows (18) —'A kk j POLCA-
Lot No.
Block No.
CONSTRUCTION INFORMATION: III
onaiworKto ne ertormea unser this permu–cnecK mi apply.
HVAC �GasTank ❑Gas Piping I�_IShutters SWindows/Doors
Electric ❑Plumbing [:]Sprinklers❑Generator ORoof
Total Sq. Ft of Construction:
Cost of Construction: $ 25,600.
SFt. of First Floor:
Utilities:11Sewer I JSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROBERT & MARLENE SANTOM
Name: Sam Ochstein
Address: 15339 TWIN BEECH PKWY
Company: Newsouth Window Solutions
City: PORT ST. LUCIE State: FL
Zip Code: 34987 Fax:
Phone No. 772-467-2055
Address:2526 Okeechobee Blvd.
City: West Palm Beach State: FL
Zip Code: 33409 Fax: 561-478-4100
Phone No. 561-712-9000
E -Mail: RHSTANTOM(aAOL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: westpalmbeach(a)newsouthwindow.com
State or County License: CRC1330822
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.