HomeMy WebLinkAboutBuilding Permit Application 0-)
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �GI''� Permit Number: 1 CA 0 o 70o
COUNTY [�
F L O 1K 1. D A. '"- - •fjC
BuildingPermit Application 40, �' Fo
Aer �Q �O
Planning and Development Services �i •
Building and Code Regulation Division SF�t'29a 18
2300 Wrginia Avenue,Fort Pierce FL 34982 4`1 Ccbc
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residentla1k���t✓
PERMIT APPLICATION FOR: shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 10129 WILD QUAIL DRIVE,PORT ST LUCIE,FL 34986
Legal Description:
Property Tax ID#:3322-621-0024-000-9 Lot No.
Site Plan Name: Block No.
Project Name:JOHN&NANCY VAUGHAN
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacement Windows(2) ;0,-seqC*
CONSTRUCTION INFORMATION:
Additional work to be ertormed under thls permit—check all apply:
HVAC Gas Tank ❑Gas Piping tShutters 1 Windows/Doors
Electric ❑Plumbing ❑Sprinklers ❑Generator ❑Roof
Total Sq.Ft of Construction: .S .Ft.of First Floor:
Cost of Construction:$ 5,500 Utilities:bSewer El Septic Building Height:.
OWNER/LESSEE: CONTRACTOR:
Name JOHN&NANCY VAUGHAN Name:Sam Ochstein
Address: 10129 WILD QUAIL DRIVE Company:Newsouth Window Solutions
City: PORT ST LUCIE State: FL Address:2526 Okeechobee Blvd.
Zip Code: 34986 Fax: City:West Palm Beach State:FL
Phone No. Zip Code: 33409 Fax:561-478-4100
E-Mall: Phone No. 561-712-9000
Fill in fee simple Title Holder on next page(if different E-Mall:jenniferaviles@newsouthwindow.com
from the Owner listed above) State or County License:CRC1330822
If value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
1
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _N�,A ca Ie
Name: Name:
Address: Address:
City: State: City: State: '
Zip: _Phone: Zip: Phone: 1
FEE SIMPLE TITLE HOLDER: _Not Applica• - BONDING COMPANY: Not pplrieabt'
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: / Phone:
...--- I
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. i
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work 1
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments. 1
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 fa re to Record a Notice of Commencement may result in your paying twice for
improvements to your prop, e Notice of Commencement must be recorded and posted on the jobsite
before the fir inspectio o. intend to obtain financing,consult with lender or an attorney before.
corn • in/wor o = di •.'your Notice of Commencement.
/
i id1
� A/ e• �r&-T--
Signa re of •wner/Agent essee Signature of Contractor/License Holder
TE OF FLORIDA STATE OF FLORL A
OUNTY OF Voq 1 M IQ- 40‘ch COUNTY OF rck\M (2,200-1
The forgo g instrument was acknowledged before me The forgoing instru ent was acknowledged before me
thiQ3f`ayof Apr%.\ , 20,14-by thisa?flay of Apr i' 1 ,20, by
U
cl G r1 SIG k rcv, SC�ry-, C',hS I '1 —. m{Name of person acknowled (Name of person acknowledging) I--":`' •aN
4L4SLtA4LL
'�N' W N
----ja-
cc
AA,1-di• 1 cjv ! ��+m
(Signature Notary Public-State of Florida) (Signature of Notary Public-State of Florida) a oEt
Person.11 Ki. , i •• •_ 1 .tion Personally Known OR Produced Identification 0 .zo co
co To
Type o`_}.=k1YF cation -p 1 •es - Type of Identification Produced ,Gly a....
.2
o`�' y State of Florida-Notary •u• I l
'_* ._ GG 19 C' /� N
"' _ Commission # 4 �I��7 (Seal) ;`Yl le.,,
COMM' j.,• ;on EOM!)
Commission No.
ii%%% March 15, 2022 '4 R, -
-2i/111 \\
Revised 07/15/2014
I
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE _
INITIALS