HomeMy WebLinkAboutBuilding Permit Applicaiton All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED qr�
Date: 2/20/2019 Permit Number:
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c9Pe'liwoommomminiimi Building Permit Application co4AF „,e,Planning and Development Services
Building and Code Regulation Division j
2300 Virginia Avenue,Fort Pierce FL 34982 X
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:Remove and Replace Windows
PROPOSED IMPROVEMENT LOCATION:
Address: 5209 Paleo Pines Circle
Property Tax ID#: 1312-801-0153-000-7 Lot No.350 ,I
Site Plan Name: Block No.
Project Name: Maidel Window Replacement
DETAILED DESCRIPTION OF WORK:
Remove existing windows and replace with vinyl, impact windows.
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters X' Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
28,000.00
Cost of Construction:$ Utilities: _Sewer _Septic Building Height:
- I
OWNER/LESSEE: CONTRACTOR:
Name Wesley Maidel Name:Devin Wheaton
Address:
5209 Paleo Pines Circle
Company:Treasure Coast General Contractors
Ft. Pierce open aver oa
City: State:_ Address:
Zip Code: 34951 Fax: City: Ft. Pierce State:FL
34945
Phone.No. Zip Code: Fax:
E-Mail: Phone No 772-201-5426
Fill in fee simple Title Holder on next page(if different E-Mail
treasurecoastgc@?gmail.com
from the Owner listed above) State or County License CGC1526542
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable ,I
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:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no represu
sentation that is granting a permit will authorize the permit holder to build thesubject 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 IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR L DER OR ATTORNEY BEFORE RECORDING YOUR NOTICE COMMENC EN "
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATEOF FLORIDA 5 , � OFY FLORIDAS
COON - •
COUNTY OF -C COUNTOF .
The forQng Inst ent was acknowledged before me The forgg,o,jj'ng instryunent was acknowledged before me
this20 0-day of f � ,20 ('`by this j q ay of h-�,cr.-cn. ,20 I' by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced h Produced
Cadc464----
(Signature of N ary Public-State of Florida) (Signature of Notary Public-State of Florida)
Commission No.(Ay 247 77,1 (Seal) I Commission No. (s Cs2477,11 (Seal)
.Yr Notary Puooc State of Fionoe
Notary Public State of Florida ap ollee�$ e,,�-I
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DATE a.w
RECEIVED
DATE
COMPLETED
1ev.2/7/19