HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: q "03
O RECEIVED
Building Permit Application gas I a°7o�s
Planning and Development Services
Building and Code Regulation Division permitting Department
2300 Virginia Avenue,Fart Pierce FL 34982 St. Lucie County
Phone: (i72)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: Window Replacement
PROPOSED IMPROVEMENT LOCATION
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Address: 12829 NW Cinnamom Way Palm City, Florida 34990
Property Tax!D It. 4425-602-0026-000-3 Lot No.
Site Plan Name: Cinnamon Village Harbor Ridge-plat 3-unit 14 Block No.
Project Name: Schwedler Residence
DETAILED DESCRI TION.'bi=WORK
Remove existing window and,replace with new impact resistant window
CONSTRUCTLON:iNFORN1ATiN
Additional work to be performed under this permit—check all that apply:
_Mechanical Y Gas Tank _Gas Piping _ Shutters Windows/Doors
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Electric Y Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 5,000 Utilities: _Sewer _Septic Building Height:
OVVNERjLESSEE CONTRACTOR
Name Richard Swedier Name:Richard Murphy
Address:12829 NW Cinnamon Way Company:Glass Block Warehouse
City:`Pairr?City State:Jjr Address:4425 SW Port Way
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Zip Code:;34990 Fax: City: Palm City State.
Phone No:772-336-1208 Zip Code: 34990 Fax:
E-Mail:90iftravelers@msn.com phone N0772-781-2383
Fill in fee simple Title Holder on next page(if different E-Mail Imayer@glassblockwarehouse.net
from the Owner listed above) State or County LicenseCGC1523666
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 LAIN 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: I Name:
Address:; Address:
City: I City:
Zip: i Phone: Zip: Phone:
I
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
"WARNIN&TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMM NT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE COMME EMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTIO Y OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDI YO TICE O CO MENCEMENT."
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Si ature of Owner/Lessee/Contracto as gent for Own Signature of ontra or/Lice se Holder
STATE OF LO IDA STATE OF FLORIDA
COUNT F COUNTY OF � )I'1
The forgoing instrument was acknowledged before me The for oing instrument was acknowledge kbefore me
this P day of MARCH 2Q/` by this day of MARCH ZQ/v/ by
RICHARD SCHWEDLER RICHARD MURPHY
Name of person making statement. Name of person making statement.
Personally Known i/OR Produced Identification Personally no OR Produced Identification
Type of Identification Type of I e f'cation
Produced P .
LAUREEN MAYER
"// +w ���•- Notary Public-State of Florida
C— _•. Commission#r FF 245221
(Signatu PubIM+� bi�Fttd1R8®6)ON (Si na rare of N�ryj�L ',,. * xp res un ,
Notary Public-Slate of FWW& ������'``� Bonded through National Notary Assn.
Commis ti Commisslon#F FF���aommission No ( ea)
spires Aug 10.019.
• ''••°;�t"`` gpgedUrntgtWloiglNataryAssn.
REVIEWS FRONT, ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVEDi
DATE
COMPLETED
Rev.217119