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APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit N u mbe • Cj'
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RECEIVED
• JUL 12019
Building Permit Application
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fon:Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 6661 ALEMENDRA STREET,FORT PIERCE,FL 34951
Property Tax ID#:1306-500-0168-000-2 Lot No.
Site Plan Name: Block No.
Project Name: PETER&BONNIE DOLSON
DETAILED DESCRIPTION OF WORK:
Replacement Windows(6) f naC _
FC6NSTRU 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:$9,500 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NamePETER&BONNIE DOLSON Name:Sam Ochstein
Address:6661 ALEMENDRA STREET Company:Newsouth Window Solutions
City. FORT PIERCE State:FL Address:2526 Okeechobee Blvd.
Zip Code: 34951 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.
SUPPLEMENTAL CONSTRUCTION LIEN:LAW INFORMATION
DESIGN ER/ENG INEER: Not Applicab MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: —NotAPPIoble, BONDING COMPANY: _Not Appli
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 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 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 exemptfrom undergoing a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
"'YARNING 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 OB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
OUR LE E OR AN ATTORNEY BEFORE RECORDING YOUR NlfflCE W C MMENCEMENT A
Signa re of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLO . D, STATE OF FLORI
COUNTY OF n� PDP» 01� COUNTY OF re_'� 6eckr
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thi aayof- -ung—,201Q by this21'Vcrayof—�Sv��_ 20 P;by
Pe,�c r Oo\s Or-, _ _ saxv, chs} ----
Name of person making statement. Name of person making statement.
Personally Known _OR Produced Identification Personally Known
YP _ao`1rr'i�'=;State of Florida-Notary ota Y P c
Type of Identification Type of Identification ,. �B�
Produced Produced = ommission #GG 196 4
My commission
4t66L-_a-.(2,��• March 16,
{Sign ture of No ary Public-State of I , „ PHILIP G.21'
otary lic-State of Florida I
;=`°EYP""--_State of Florid�*� Commission )
Commission No. o. Seal=;, a9 My Commis%°;;�°� Decembe
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19