HomeMy WebLinkAboutBuilding Permit Application , • •
ALL APPUCABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED J �y _ �J
Date: I U -271 Permit Number: 1 0 0 / 77
RECEIVED
60.19 N.TY OCT 2
t,F P .� D .n_- 21018
INENNEENENEENNImor Building Permit Application �ermItting pe
Planning and Development Services 9! Lucie caun ent
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: shutter SmeacA W r`dc) w
PROPOSED IMPROVEMENT LOCATION:
Address: 8591 HIDDEN PINE ROAD,FT.PIERCE,FL 34945
Legal Description:
Property Tax ID#:2323-701-0019-000-6 Lot No.
Site Plan Name: Block No.
Project Name:TISZAUER,DETLEV&BRIGITTE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacement Windows(15)
CONSTRUCTION INFORMATION:
Additional work to be erformed under this permit—check all apply:
HVAC E1GasTank ❑Gas Piping Shutters I indows/Doors
UElectric El Plumbing ['Sprinklers El Generator El Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 22,000 Utilities: Sewer El Septic Building Height:
OWNER/LESSEE: CONTRACTOR:,
Name TISZAUER,DETLEV&BRIGITTE Name:Sam Ochstein
Address: 8591 HIDDEN PINE ROAD Company:Newsouth Window Solutions
City: FT.PIERCE State: FL Address:2526 Okeechobee Blvd.
Zip Code: 34945 Fax: City:West Palm Beach State:FL
Phone No. Zip Code: 33409 Fax:561-478-4100
E-Mall: Phone No. 561-712-9000
Fill In fee simple Title Holder on next page(if different E-Mail:jenniferaviles(ainewsouthwindow.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:
DESIGNER/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 priorto the issuance of a permit.
St.Lucie Countymakes 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
1 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 your Notice of Commencement.
P..6-ee,,e (7' (S.
c,h),
Signature of Owner/Agent/Less Signature of Contra or/License Holder
STATE OF FLO A STATE OF ROA`
COUNTY OF VG 1 M Vjp a.� COUNTY OF Ct I cAC m
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I—14t'ay of (C l-cc►np r , 20 by this a day of SGOT ,20, by
IFI
•
1 e v 115 ZQ v e r da m Uc� c, krsn
{Name of person acknowledging} (Name of person acknowledging}
C
taSza 4.4.4:A,
Sl ature ota Public-State of i nature of Nott Public-State of{ gn ry Florida)} { g ry Florida)
Personally Known OR Pro uced Identification L----- Personally Known (/OR Prod d Identification
Type of Identification Produced r%✓e.c s 1 C e n r e Type of Identification Produ�cced ��„
...,.. 100C+i lly,„ HILIP G. PERO—I
Commis ortf � AVII.4§Sal i i Commission No. L. .iii`
Yp',� ��Y,�1e of Florida-Notar ublic
-•..94111111 -�State of on Notar w ./"'I\•e Commission N GG 16f 47
4,:-.. .:--,ui M Commission # GG 196943 .Y z • ,a��
MY Commission Exp 3s
�,r. 'A; • , • , 2022 ° , ' w. i` December 1u, zu-L'
, N March 15
Revise --, ,4,,i-,. -. .. . .-> ,. -,.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS