HomeMy WebLinkAboutWINDOW/DOOR INSTALLATION RESIDENTIAL ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: "1\ Permit Number:
RECEIVED
Building Permit Application SEP 2 7 2018
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division —
2300 Virginia Avenue,Fort Pierce 11 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: W ;ncj6uj S
PROPOSED IMPROVEMENT LOCATION:
Address: 4100 SMOKEY PINES COURT,FT PIERCE,FL 34951
Legal Description:
PropertyTax ID#: Lot No.
Site Plan Name: Block No.
Project Name:WALSH,PAT&BILL
Setbacks Front Back: RightSide: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacement Windows (I°i)
CONSTRUCTION INFORMATION:
A001tional work toorme under s perm —check a appy:
HVAC OGas Tank ❑Gas Piping _Shutters ❑Windows/Doors
UElectric 0 Plumbing Sprinklers E]Generator Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 18,200 Utilftles:I]Sewer OSeptic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name WALSH,PAT&BILL Name:Sam Ochstein
Address: 4100.SMOKEY PINES COURT Company:Newsouth Window Solutions
City: FT PIERCE State: FL Address:2526 Okeechobee Blvd.
Zip Code: 34951 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(Dnewsouthwindow.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.
i
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION-
DESIGNER/ENGINEER:
NFORMATION-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:
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 termit will authorize the permit holder to build the subject%ructure
which is in conflict with any applicable Home Owners Assoc anon rules,bylaws or and covenantsthat may restrict or pro lbit 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.
S nature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLOR)QA STATE OF FLO DA
COUNTY OF NG I r"� ib erA GIS COUNTY OF I PF_M,22p
The forg ir�g I strumeri was acknowledged before me The forgoing instrument was knowledged before me
thisa 'ay of v%Ioer 20 y this ZS day of .Z0�--b
t
Pa. r I C I`a KJC-A s sem' d Gh S il✓.'/1
(Name of person acknowledging) (Name of person acknowledging)
(Signature of tary Public-State of Florida) (Signature of Notary Public-State of Florida}
Personally Known OR Produced Identification Personally Known OR Pro[Auced Identificatip
Type of Identification Produced n r-We s'S k tC Pn.S2 Type of Identification Produc``e��d Ur-i t/Pr- , l i C�n SP_
Commissl q q�( I$ Commission No. 16� T7
W�:State of Florida-Notary Public , ,� PHILIP G. PEROT
= Commission# GG 196943 `" °o to of Florida-Notary P lic
FA
P My Commission Ex ?. •= Commission
arc , 2022 :n
555!7
Renis March 15 ,a cr«•?�; My Commission Expir
December 10, 2021
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