HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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Address:
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Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
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Address:
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MORTGAGE COMPANY: _ Not Applicable
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I certify that no work or installation has commenced prior to the Issuance of a permit.
St. Lucie bounty make no representation that is granting a permit will authorize the permit holder to build the suNea s*rugture
which is in con 1 with any applicable Home Owners Association rules, bylaws or antl 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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement_
zi
STATE OF FLORID
COUNTY OF
The forgoing instrument was acknowledged before me
thil dayof 20 1'Dby
STATE OF FLORIDA
COUNTYOF P m ae k
The forgoing Instrument was acknowledged before me
thls� day of.20
-ij by
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(Name of person acknowledging ) (Name of person acknowledging }
Wil,l 7:1��
(Signature of Notary Public- State of Florida }
Personally Known OR
Type of Identification Produce,
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(Signature of Notary Public- State of Florida }
Personally Known OR Produced Identification
Type of Identificat on Produced
Commission No.(Sea�1M A STONE commission No.
�Y�i�Ff�r Na COM��9SSI oaobw 13,
3 1019
Revised 07/15/2014
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MY COMMISSION N FF929006
REVIEWS
FRONT ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
EXPIRES; Oembc 15, 2019
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 Virginlo Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: V_ 1. -s
PROPOSED IMPROVEMENT LOCATION:
Address: 10420 Glade; Cut Off Rd, Port St. Lucie, FL 34985
Legal Description:
Property Tax ID 7[:3315-332-0000-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Steve & Karen LaMountain
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacement Windows (16) Replaement Doors (7)
CONSTRUCTION INFORMATION:
Additional worK to erorme under tispermit—c ec a appy:
nnHVAC ElGasTank E]GasPiping _Shutters Windows/Doors
13 Electric ElPlumbing Sprinklers Generator ❑Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 52,000.00 Utilities: �Sewer OSeptic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Steve & Karen LaMountain
Name: Sam Ochstein
Address:-] 0420 Glades Cut Off Rd
Company: Newsouth Window Solutions
City: Port St. Lucie State: FL
Address: 2526 Okeechobee Blvd.
Zip Code: 34986 Fax:City:
West Palm Beach State -FL
Phone No, 321-525-6886
Zip Code: 33409 Fax: 561-478-4100
E -Mail: slamtnl(?a gmail.com
Phone No. 561-712-9000
Fill in fee simple Title Halder on next page ( if different
E -Mail: westpalmbeach(a,newsouthwindow.com
State or County License: CRC1330822
from the Owner listed above)
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.