HomeMy WebLinkAboutBuilder Permit Applicaiton C3\
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED rr��
Date: / 9:71;-17 Permit Number: I ctOi v L)ay
COUNTY'N
Building Permit Application a��. 4'2
Planning and Development Services s 'Fs� I
Building and Code Regulation Division C�,� A o4'
2300 Virginia Avenue,Fort Pierce FL 34982 eQ
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential `' 0,4,
PERMIT APPLICATION FOR: �MPgc� W ;Act ou1S
PROPOSED IMPROVEMENT LOCATION:
Address: 7913 PLANTATION LAKES,PORT ST LUCIE,FL 34986
Legal Description:
Property Tax ID#:3321-801-0063-000-3 Lot No.
Site Plan Name: Block No.
Project Name:ROB&ERICA SCHAAL
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacement Windows awl-Buffs
C q) I1V11ecLck
CONSTRUCTION INFORMATION:
Additional work to bpArformed under this permit_check all pai apply:
El HVAC U Gas Tank ❑Gas Piping _Shutters IWlndows/Doors
UElectric 0 Plumbing ['Sprinklers EIGenerator 0Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ ) 900 utilities: LISewer❑Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name ROB&ERICA SCHAAL Name:Sam Ochstein
Address: 7913 PLANTATION LAKES Company:Newsouth Window Solutions
City: PORT ST LUCIE State: FL Address:2526 Okeechobee Blvd.
Zip Code: 34986 Fax: City:West Palm Beach State:FLI'
Phone No. Zip Code:33409 Fax:561-478-4100 !j
E-Mall: Phone No. 561-712-9000
Fill in fee simple Title Holder on next page(if different E-Mall:jenniferaviles@newsouthwindow.com
from the Owner listed above) State or County License:CRC1330822
If value of construction is$2500 or mon:,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
' ' ' ' ' . MORTGAGE COMPANY: _Not , • • '-• • -
Name:
A • • Address:
City: State: City:
• Zip: Phone:
FEE SIMPLE'TITLE HOLDER: Not Applicab - : 2 NDING COMPANY: Not Ap•l' .: '
Name: Name:
Address: Address: .
City: City:
• Phone:
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I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makeno representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict withany 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 orecordin: your Notice of Commencement.
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r_� • .� .r i / / ,!/1".m.:. ,
Signat i of Owner/ 'gent/Lessee Signature of ontra n r L ce se older
STATE OF FLOR1pA STATE OF FLORJQAA
COUNTY OF rale-v. C.f'N COUNTY OF • rA 1M rbesACA
The forging instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I l'city of n UO.r , 2044"'by this l')d'iTay of -To" J G N ,20� by I'
IQ I9
2,nb %_J'‘act k San 6cr,sAL,;n
(Name of person acknowledging) (Name of person acknowledging)
'XII', 4.
A 4 4 6&,
(Signature ry Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification 1 Personally Known OR Produced Identification
Type of Identification Produced 9 (i Type of Identification Produced _
Commission No. � ILIP G:'PEROT�
• m3 Commission No. "r �E'=• of Florid. pERr
110
uu . 3• "" •= Commission;#GG 166:
�itl i• • ...u• • •• 9i'II-.VS M Commission Expi
Revised 07/15 .•,=,-• • -- ,
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE I .
COMPLETE
INITIALS
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