HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Ig 0 1 - O_LQ39
Date: Perm It Number:
tJ TJi
RECEIVED
Building Permit Applicatio JAN 3 0 2019
Planning and DevelopmentServiaes
Building and Code Regulation Division ST. Lucie COun
2300 Virginia Avenue,Fort Pierce FL 34982 tY, Permitting
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: SMAW
w 1k k Y-
PROPOSED IMPROVEMENT LOCATION:
Address: 105 OUEENS ROAD,HUTCHINSON ISLAND,FL 34949
Legal Description:
PropertyTax ID#:1423-602-0010-000-3 Lot No.
Site Plan Name: Block No.
Project Name:JOHN&KAREN BARNES
Setbacks Front Back: Right Slde: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacement Windows(21)and Doors(3) - A t 1 =rr.pae,+
CONSTRUCTION INFORMATION:
ona wor to orme un er sperm - e a appy:
OHVAC DGaS Tank ❑Gas Piping _Shutters Vlilndows/Doors
Electric 0 Plumbing Sprinklers Generator ED Roof
Total Sq.Ft of Construction: So.Ft.of FirstIFloor:
Cost of Construction:$ S-5 S, 00 Utilities:0Sewer OSeptic Building Height:
OWNERAESSEE CONTRACTOR:
Name JOHN&KAREN BARNES Name:Sam Ochstein
Address: 10!5 12iaad Company:Newsouth Window Solutions
City: Sk o ex State: 'FL- Address-2526 Okeechobee Blvd.
Zip Code: 34qq9 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:jenniferaviles(anewsouthwindow.com
from the Owner listed above) State or County License:CRC1330822
If value of construction is$2900 or more,a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/EN 61 NEER: _Not Applicable MORTGAGE COMPANY: _Not Appli
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Ap BONDING COMPANY: Not Applicable-1
Name: Name:
Address: Address:
City: City:
Zip: Phone: ZI Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Coun 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 covenantsthat 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
congmencing wpMor recording our Notice of Commencement.
Sig ature of Owner/Agent/Lessee Signature of Contractor/License Holder
ATE OF FLORID STATE OF FLORIDA
COUNTY OF nn Y3each COUNTY OF al rr\ 6PC>le_1-%
The forgoing instrg ent was acknowledged before me The forgoing instrument was acknowledged before me
this. clay of JCXA L)a Cu 20 14'by this-Clay of Tonga rt j ,ZO q
�I by
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%/N V3o, tn2S JUM onhS�in
(Name of person acknowledging) (Name of person acknowledging)
{Signature otary Public-State of Florida} {Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced r%vers L v'Cer,r2 Type of Identification Produced
Commission No. JEN���R AQ196943
Commission No 'I �
;ro ate^ tate of Ion a-NPHILIP G. PEROTTI
•_ Commission#G `�piia PV�� State of Florida-Notary Public
°• Commission 0 GG 1665h 15,
Revised 07/1512 =;���oFF�o�;:: My Commission Expires
F�rn��a December 10, 2021
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