HomeMy WebLinkAboutBuilding Permit Application V
ALLAPPUCAB INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � Permit Number:
Building Permit ApplicationLesfdie-rnftiatip
2 p
Planning and DevebpmentServires 2018
Building and Code Regulation Division Permit- 7� > �
7300 Wrginia Avenue,Fort Pierce Ft 34382 }� rti`ri e n f
Phone:(772)462-1553 Fax: (772)462-1578 Commercial ,;$�;-��-Y, FL
PERMIT APPLICATION FOR: - w
PROPOSED IMPROVEMENT LOCATION:
Address: 8260 SAND PINE CIRCLE,PORT ST LUCIE,FL 34952
Legal Description:
Property Tax ID#:3426-703-0035-000/9 Lot No.
Site Plan Name: Block No.
Project Name:WUEST,DAVID &DEBORAH
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacement Windows Cg� 41\d C% S C' n P1\ TtA(�
CONSTRUCTION INFORMATION:
AcialtionalworKtODenerformed under this perm –cnecK all In appy:
HVAC Gas Tank ❑Gas Plping _Shutters Windows/Doors
Electric 0 Plumbing [:]Sprinklers ❑Generator D—Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 17,500 Utilities:0Sewer Useptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name WUEST,DAVID &DEBORAH Name:Sam Ochstein
Address: 8260 SAND PINE CIRCLE 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:561-478-4100
E-Mail: Phone No. 561-712-9000
Fill In fee simple Title Holder on next page(If different E-Mail:westpalmbeach((iDnewsouthwindow.com
from the Owner listed above) 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:
DESIGNE ENGINEER: pplicable MORTGAGE COMPANY: of Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zi Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:',,, t Applicable BONDING COMPANY: Not e
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.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in confect 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
c men ing work or recording our Notice of Commencement.
c �
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLO i� STATE OF FLORIDA
COUNTY OF 1 fY� PS�C�1 COUNTY OF UY,ee ch nhe e.
The forgoing instrumerrt was acknowledged before me The fprgoing instrument as acknowledged before me
this L day of S 20 '�by this,T,day of 2 I r,20Aby
P_P1i'm}nP� 1
is
(Name of person acknowledging) (Name of person acknowledging}
(Signature ry Public-State—of a} (Signature of Not ry Public-State of Florida}
Personally Known OR Pr duced Identifi tion�C Personally Known OR Produced Identification
Type of Identification Produced ��k verc ►C eriCP Type of identification Produced
Com LE ea Commission NoO;`l9 Oall
VP �a By PHILIP G. PER TI
uen�State of Florida-Notary Public �F`�nYP�e`-State of Florida-Notar ublic
547
,9.E °Q My Commission Expires a`0`� My Commission Ex res
%,FOF ��` December 10, 20 1
ReV March 15, 2022 �n,,,��a
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