HomeMy WebLinkAboutBuilding Permit Application r
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ALL EAPPUCABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED h �
Date: 1A.. 1r? `Lr Permit Number: 1 Pi 'U 3 Ltsi
COUNTY pet
F ,Y. O `R 1. D A ---
Building Permit Application Per 172918
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Planning and
Development
3t �4c -port
and Code Regulation Division C �y enc
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential 1.. -----
PERMIT APPLICATION FOR: Shutter .i
PROPOSED IMPROVEMENT LOCATION:
Address: 121 QUEEN EUGENIA COURT,HUTCHINSON ISLAND,FL 34949 II
Legal Description: II
II
Property Tax ID#:1414-701-0052-000-5 Lot No. ,I
Site Plan Name: Block No. I�
Project Name:VER&TOM ASTER
Setbacks Front ; Back: t Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacement Windows(4) Zmpae.4
CONSTRUCTION INFORMATION:
Additional workto be riormed under this permit—check all apply:
UHVAC [iGas Tank ❑Gas Piping LI Shutters IWlndows/Doors
ElElectric ID Plumbing Sprinklers 0 Generator 0 Roof
Total Sq.Ft of Construction: , S b.of First Floor:
Cost of Construction:$ 5,800 Utilities: Sewer LISe
ptic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name VER&TOM ASTER Name:Sam Ochstein
Address: 121 QUEEN EUGENIA COURT Company:Newsouth Window Solutions
City: HUTCHINSON ISLAND State: FL Address:2526 Okeechobee Blvd. - I
Zip Code: 34949 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-Mall:jenniferavilesAnewsouthwindow.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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Die pplt� ica�ble MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address.
City: State: City: State:
Zip // Phone: ; Zip: Phone:
FEE SIMPLE TITLE HOLDER: I_Not Applicable BONDING COMPANY: _Not cat3lee
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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I certify that no work or installation has commenced prior to the issuance of a permit. I
St.Lucie County 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. I
The following building permit applications are exempt from undergoing a full concurrency review:room additions, I
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 your Notice of Commencement.
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Signature of Owner/ g�rifftessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Innc1ei-N COUNTY OF itt I ,e)-‘ Ia kC.h
The forgoing instr ment was acknowledged before me The for instryy�ent was acknowledged before me
this( ay of DL'Cern be..1, , 20 14" by t 8' this(1) day of iY?