HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,�1�pp
Date: Permit Number: I�QCX lJ COc�-
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Building Permit Application
Planning and Development Services
Building andCode Regulation Division
7300 l irginid Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)4624578 Commercial Residential I/
,PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 8287 SPICEBUSH TERRACE,PORT ST LUCIE,FL 34952
Legal Description:
Property Taz ID#:3426-703-0100-000-6 Lot No.
Site Plan Name: Block No.
Project Name:JEANNETTE&DOUG OWENS
:Setbacks' Front Back: RlghtSlde: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacement Windows(10)and Doors(1) — i 0-%pQC-
CONSTRUCTION INFORMATION:
ACIClitional work to Tfrformedunder this perm -check all appy.
HVAC Gas Tank -QGas PipingShutters awlndows/Doors
Electric 0 Plumbing _Sprinklers Generator Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 13,900 Utlllties:nSewer I JSeptic . Bullding Height:
OWNER/LESSEE: - CONTRACTOR:
Name JEANNETTE&DOUG OVENS Name:Sam Ochstein
Address: 8287 SPICEBUSH TERRACE Company:Newsouth Window Solutions
City: PORT ST LUCIE State: FL Address:2526 Okeechobee Blvd.
Zip Code: 34952 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:.ienniferavilesna,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:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: pplicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zi Phone:
FEE SIMPLE TiTLE HOLDER: _Not Applicab BONDING COMPANY: _Not Applicable
Name: Name:
'Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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11 certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucle County makes no representation that is granting a Dermit 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
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 recojAng your Notice of Commencement.
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gnatur,6 of Owner/Agent/Lessee Signature of Contra r/License Holder
STATE OF FSTATE OF
COUNTY OF OQ 1 r��,pa Ck COUNTY OF FLORIDA
1 ,n�, ac.�
The forgog instrument was acknowledged before me The forgoing instrument was acknowledged before me
thiayof_abructcu . 20--14-by th1*21 S}dayof F'ebr.ra ru .20-J2rby
IQ lq
(Name of perso acknowledging) (Name of person acknowledging}
4tj\?jd . 44A
(Signature of Notary Publlc-State of Florida} (Signature of ffa
ry Public-State of Florida}
Personally Known OR Produced Identification y Personally Known ��Produced Identification
Type of Identification Produced OrA vers � een.SQ Type of Identification Produced
PHILIP G. PER
CTrlmi ion No.
7s.
iENNIF MILES
4�B�� state of Florida-NotCommissionNo.66 ,�'G547State of Florida-Notary Public
mission# GG 86547 �r° �;
11Wa M Commission xpire QrRevised 0,7/15/2014 °"` y Q My Commission Expires
im��� December 10, 2027 �'�'F°F��O�` March 16, 2022
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