HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11 �� Permit Number:
FAUG
IVED
Building Permit Application 7 2018Planning and Development Services ntiy, FerPnlStifi9
Building and Code Regulation Division
2300 I/irginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: stmawUv;�da�s 4�
PROPOSED IMPROVEMENT LOCATION:
Address: 357 SE VERADA AVE,PORT ST LUCIE,FL 34983
Legal Description: ,
Property Tax ID#:3419-530-0042-000-9 Lot No.
Site Plan Name: Block No.
Project Name:TOM&MARYANN SINAGRA
Setbacks Front Back: RlghtSide: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacement Windows(7)Replacement Doors(2) !w,pLc'
CONSTRUCTION INFORMATION:
t ona wor to orme under this permit— e a appy,
HVAC E]Gas Tank ❑Gas Piping _Shutters Windows/Doors
❑Electric 11 Plumbing ❑Sprinklers ❑Generator 1:1 Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 15,500.00
Utilities: ❑Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name TOM&MARYANN SINAGRA Name:Sam Ochstein
Address: 357 SE VERADA AVE Company:Newsouth Window Solutions
City: PORT ST LUCIE State: FL Address:2526 Okeechobee Blvd.
Zip Code: 34983 Fax: City:West Palm Beach State:FL
Phone No. Zip Code: 33409 Fax:561-478-4100
E-Mail: Phone No, 561-712-9000
Fill In fee simple Title Halder on next page(if different E-Mail:westpalmbeachna,newsouthwindow.com
from the Owner listed above) State or County License:CRC1330822
If value of construction Is$2900 or more,a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAVA INFORMATION:
DESIGNE ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
1 certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Countv makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
In accordance with the approved plans,the Florida Building Codes and St:Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
14
Signature ofcaner/Agent/Lessee Signature of Contractor/License Holder
STATE OF ICar'>n LZDA STATE OF FLOR A
COUNTY OF NCsh COUNTY OF rC m c)\Ch
The forgk*g instrument was acknowledged before me The fo eft instrument was a knowledged before me
thisJ3 day of Ay$u S A 20 4 by this ia day of AV S 20_Mr by
�1Q�V Ar,�, 5►nacrca �c�n-� �1C_hs
{Name of person acknowledging) {Name of person acknowledging}
(Signatur f Notary Public-State of Florida) {Signature of otary Public-State of Florida}
Personally Known OR POuced Identification 1✓ Personally Known R Produced Identification
Type of Identification Produced c-�\(e ;C en Se Type of Identif
JENNIFER AVILES
"ny�'o JENNIFER A� =°O %State of Florida- Public
Commissi neo 4�y Commission N _ # gr
�: ida Not r blic ^� v; ission 1 6943
oc Commission #GG 196.943 %��FOF;,o`' My Commission Expires
' �i�"�� March 15, 2022
Revised
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DATE
COMPLETE
INITIALS