HomeMy WebLinkAboutBuilding Permit Application ALLAPPLI BLE':INFOcM�UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: a Permit Number:
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Building Permit Application
Planning and Development Services FEB 2 6 2018
Building and Code Regulation Division
7300 Virginia Avenue,Fort Pierce Ft 34982
Phone:(772)462-1553 Fax: (772)462-1575 Commercial Residential
PERMIT APPLICATION FOR:
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Address: 7601 GULLOTTI PLACE,PORT ST.LUCIE,FL 34952
Legal Descrlption:ST LUCIE GARDENS 24 36 40
PropertyTax ID#:3414-501-1111-150-2 Lot No.11
Site Plan Name: Block No.3
Project Name:DEBORAH SLOWN
Setbacks Front Back: Right Side: Left Side:
DETAILED C+ESCRIPTIOV OFSVrl4RK: 7 r
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Replacement Windows(12)Replacement Doors(1)
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777777'ONO, k x; e r d r {fi x r t s x; iw 6� st Gs:'1
CONSTRUCTIt) NFORMATIC?N.
rc onalwor K:o . orme under this perm —cneck all t=apply."
HVAC Gas Tank ❑Gas Piping _Shutters --Windows/Doors
UElectric Plumbing Sprinklers D Generator Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 25,000.00 Utilitles:lSewer OSeptic Building Height:
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CC► GT'C►R ,rWNER/L�SSEE� � � �..� . .t ��" ' � �` �5 '
Name DEBORAH SLOWN Name:Sam Ochstein
Address: 7601 GULLOTTI PLACE Company:Newsouth Window Solutions
City: PORT ST.LUCIE. State: FL Address:2526 Okeechobee Blvd.
Zip Code: 34952 Fax: City:West Palm Beach State:FL
Phone No. Zip Code:33409 Fax:$61-478-4100
E-Mail: Phone No. 561-712-9000
Fill In fee simple Title Holder on next page(If different E-Mail:westpalmbeachgnewsouthwindow.com
from the Owner listed above) State or County License:CRC1330822
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If value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
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t5UPP,LEMENTALCUNSTRUCTION LiEN=iAW INFORMATION: ' ° 5 ` ` t _ ° °'
[%-SIGNER/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.
5t.Lucie Counttyy mak no repre ntlion that Is granting a ermit will authorize the t?ermit holder to build.the subject si�ructure
which is In ppnflict with anyapplgab�e Home OwnersAssoc>patton rules,bylaws or and covenants that may restrict or pro ibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions-which may apply.
in amsideration 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-residentlal 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
I before the first'inspection. If you intend to obtain financing,consult with lender or an attorney before
commencingwork or recordin our Notice of Commencement.
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5lgnature of Owne/Agen essee Signature of Contra r L ce older
STATE OF.FLORiD(k STATE OF FLORIDA
COUNTY OF, lS COUNTY OF
The for Ins Mrnent was acknowledged before me The forgoing instrument was acknowledged before me
thi�day of 20 It by thit,2,�„day of�.{-�t tt�T,20ja by
(Name of person acknowledging) (Name of person acknowledging}
4AA \1-
(signature of Notary Public-State of Florida} {Signature of Notary Public-State of Florida}
Personally Known OR Produced identlficatloK Personally Known OR Produced Identification
Type of Identification Produced e;Q4J s• Lac- Type of Identification Produced
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Commission Not `Q � (Seal) Commission
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My COMM SION P FF929006 I+EXf2hL5:OCtobcs I5,2014
Revised 07/1.5/201 �
�.�a� EXPIRES:flctabcr75,2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS