HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLI BLE INFO
MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ` D Permit Number:
y. ,
-`' Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: � V� ( I �tti,)ac
PROPOSED IMPROVEMENT LOCATION:
Address: 6719 ALEMENDRA, FT. PIERCE, FL 34951
Legal Description:
Property Tax I D #:1306-500-0162-000-0
Site Plan Name:
Project Name: ROSEANN & BOB FABIS
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I
Replacement Windows (11)
e aeriormeu unuermispermit
Gas Tank ❑Gas
ElPlumbing ❑Sprinklers
— cnecKall apply:
Piping _Shutters
❑Generator
Name ROSEANN & BOB FABIS
Indows/Doors
ERoof
Total Sq. Ft of Construction:
Cost of Construction: $ 15,200.00
SFt. of First Floor:
Utilitles:11Sewer ❑Septic Building Height:
OWNERILESSEE:
CONTRACTOR:
Name ROSEANN & BOB FABIS
Name: Sam Ochstein
Address: 6719 ALEMENDRA
Company: Newsouth Window Solutions
City: FT. PIERCE State: FL
Zip Code: 34951 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(anewsouthwindow.com
State or County License: CRC1330822
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/EN GI NEER:
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 prior to the issuance of a permit.
St. Lucie Countv makes no repregentation that is granting a Demi[ will authorize the permit holder to build the subject s�ructure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenantsthat may restrict or pro lblt 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
commencine work or recordine vour Notice of Commencement. A
Lessee
re
STATE OF FLORIDA , STATE OF FLORID
COUNTY OF V �C \( COUNTY OF �Gi lilt C� 4�
The forgoing instrument was acknowledged before me The fo Ing instrument was acknowledged before me
this 1C) day Of(\ 201&by thisirdayof(NVA, ,20_11f -by
(Name of person acknowledging) (Name of person acknowledging )
C
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida }
Personally Known OR P uc d Identifica
Type of Identification Produced C�
Commission No. � � ' d��DINO _(�
"F Kiln A. STONE
Revised07/15/2014J"�;-,wE'Q 1;;�Ocwba15, 2019
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. r �(��r�t- (Seal)
�.,. y
rl 923006
e
0,1.b. 15, 2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS