HomeMy WebLinkAboutBuyakowski Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/7/2019 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:Window Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 1642 NW ButtonBush Circle Palm City, Florida 34990
Property Tax ID#: 4426-840-0014-000-1 Lot No. 13
Site Plan Name: Habour Ridge-Plat 19-Tallwood Village Lot 13 Block No.
Project Name: Buyakowski Residence
DETAILED DESCRIPTION OF WORK:
Replace existing windows with new Impact Resistant windows
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 30z cry►0 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Frank Buyakowski Name:Richard Murphy
Address:1642 NW ButtonBush Circle Company:('lass Block Warehouse LC
City: Palm City State:_ Address:4425 SW Port Way
Zip Code: 34990 Fax: City: Palm City State:FL
Phone No.914-475-2768 Zip Code: 34990 Fax: 772-781-1035
E-Mail:carolny45@aol.com Phone No772-781-2383
Fill in fee simple Title Holder on next page( if different E-Mail Imayer@glassblockwarehouse.net
from the Owner listed above) State or County License CGC1 523666
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
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 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.
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 COME MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF C I�CEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF MENC OBTAIN FINANCING, CONSULT
WITH YOUR L(E�N/{DE�7R OR AN ATTORNEY BEFORE RECORDING Y F COMMENCEMENT."
Signature of Owner/Lesse /Contractors as Agent for Owner Signature of Co ractor/ V en Holder
STATE OF FLORIDA �- STATE OF FLORIDA �
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The f 'ng w ackn ledg efore me
this�day of ` {� ' 20-4 by this ay of instrum 2 by
C4"2 bj" 8C1C1AV�1,/S t Richard Murphy
Name of person making statement. Name of person making st ment.
Personally Known�_OR Produced Identification Personally Kn n 6R P duced Identification
Type of Identification Type of Ide tif' ation
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LAUREE MAYER
(Signal ure of N tary`Public-State of Florida) (Si nature of No ary Pu ji ;S F Pry nin sslan#FF 245221
Commission No. as wP S}}��!i� �jY A.SAUNTER 'N9. ;;�" M Comm.Expires Jun 29.2019
Notary�Pu1Sc State of Florida Commission No. nnded(tNatlOn0( aY Assn.
Commission#GG 06164E
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