HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPUTED FOR APPLICATION TO BE ACCEPTED
Date: I�) a(b-) Lo , �l [ 73
Permit Number:
J i 7 -
• Building Permit Application
Nanning and Development Services
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:
C1
PROPOSED IMPROVEMENT
Address: 5708 SPRUCE DRIVE, FORT PIERCE, FL 34982
Legal Description: INDIAN RIVER ESTATES UNIT 09 BLK 78 LOT 7
Property Tax ID #:3402-610-0232-000-1
Site Plan Name:
Project Name: RAY & CINDY MURANKUS
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacement Windows (11) Replacement Doors (2)
Lot No.
Block No.
CONSTRUCTION INFORMATION: III
onai worKto uMiturrymu unuer Ulla per It lit —ureutau apply:
HVAC Gas Tank []Gas Fill - _Shutters Windows/Doors
Electric 11 Plumbing [:]SprinklersOGenerator Roof
Total 5q. R of Construction:
Cost of Construction: $ 19,500.00
5. Ft. of First Floor:
Litilltiestn
Sewer []Septic Building Height:
OW N E RAESSEE:
CONTRACTOR:
Name RAY & CINDY MURANKUS
Name: Sam Ochstein
Address: 5708 SPRUCE DRIVE
Company: Newsouth Window Solutions
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No.
Address: 2526 Okeechobee Blvd.
City: West Palm Beach State:FL
Zip Code: 33409 Fax: 561-478-4100
Phone No. 561-712-9000
E -Mail:
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.
DESIGNER/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 certlfythat no work or installation has commenced priorto the issuance of a permit.
5t. IL cit County mak no repre ntgion that is granting a permit will authorize the permit holder to build the subject s�rgure
in Home Owners Aswcation rules, bylaws or and covenants that may restrict or pro ibis such
which k corrflict wkk arrrvry applicable
structure. Please consul wttI. 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 ur Notice of Commencement.
o
/
EYI�4&--
nature o r / Agent% Lessee
Signature of Contractor/License Holder
STATE LORID
STATE OF FLORIDA
COON OF 1(� �rY�
R
COUNTY OF PLLIit�i!Xnr
The forgoing instrument was acknowledged before me
this,'? day off'M.cP4, 20!&by
The forgoing instrument was acknowledged before me
this SS dayoF_�/U�r� _ 20JSby
C C)ck 1 h wQV1&5
(Name of person licknnoowlleedging)
(Name of person acknowledging)
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Personally Known OR P�duced Identificatio
ECWo«
Personally Known OR Produced I entification
Fr L—
Type of Identification Produced : sA o
Type of Identification Prod----_
Commission No. F�gzama (Seal)
Commission No. !� (Seal)
PHILIP G. PEROTTI
s tae0
MY COMMISSION; FF928006 e. a Commission ♦ GG 166547
Revised 07/15/2014 EXPIRES: Oc obc 16, 20/9 ddc My Commission Expires
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December 10. 2021
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