HomeMy WebLinkAboutBuilding Permit Applicaiton All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED i
JUN 10 2019
o -11,00 Building Permit Application Permitting oepartment
St. Lytle County
Planning and Development Services
8uilding.and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 7388 PINE CREEK WAY,PORT ST LUCIE,FL 34986
Property Tax ID#:3322-233-0006-000-6 Lot No.
Site Plan Name: Block No.
Project Name: MICHAEL FOSTER
DETAILED DESCRIPTION OF WORK:
Replacement Windows(11)and Doors(2) m pQc�
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical _Gas Tank _Gas Piping _Shutters "indows/Doors
Electric , _Plumbing _Sprinklers _Generator —Roof Pitch
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$24,000 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameMICHAEL FOSTER Name:Sam Ochstein
Address:7388 PINE CREEK WAY 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-Mail: Phone No 561-712-9000
Fill in fee simple Title Holder on next page(If different E-Mailjenniferaviles@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.
If value of HVAC Is$7,500 or more,a RECORDED Notice of Commencement Is required.
i
SUPPLEMENTAL CONSTRUCTION LIEN. LAIN INFORMATION: ._
DESIGNER/ENGINEER: _Not Applicable -`MORTGAGE COMPANY: _Not Applic
Name: Name:
Add ress: Add ress:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not A le BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: Crtr
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made—to obtain a permit to do the work and installation as indicated.
I certifythat no work or installation has commenced priorto 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 Horne Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Homeowners Association and review your deed for any restrictions which may apply.
inconsideration 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 LENDER_013 AN ATTORNEY BEFORE RECORDING YOUR NOTICA OF COMMENCEMENT A
Signature of Own /Contractor as Agent for Owner Signature of Cont ctor/License Holder
STATE OF FLORI�A STATE OF FLORI
COUNTY OFT1 M COUNTY OF /y-N 6201Ct��
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 5nay of_Yyjr _,20_Aq by this relay of JO!1 2 Ctby
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identificationy Personally Known oduced Ide t'
Type of Identification Type of Identification JENNIFER AVILE
Produced��;OPU'S 1 i C2nSP Produced �.�I ';;;�., Publi
a of Florida-NGG196943
Commission # Expires
Z I, Commission
March5,2
March 15
{Signature of Notary Public-Stat or�U4 I PHI LI of Nota li - ate of F orud
"�`Y
1%04
(Signature
of Florida-No ar Notary
�4j �_ *= Commission # G 166547
Commission No. =� )
TVI CommissontflRfiis i n No. (Seal)
December
II11111
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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