HomeMy WebLinkAboutBuilding Permit Application I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r
Date: �, Permit Number: GP's
=r
RECEIVED
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Building Permit Application pnparQnt
per t _
Planning and Development Services St.�`9:,2 bounty
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 /
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential 1/
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 5890 WHIPOORWILL LANE,FORT PIERCE,FL 34987
Property Tax ID#:3211-811-0022-000-7 Lot No.
Site Plan Name: Block No.
Project Name: JOHN GILES
DETAILED DESCRIPTION OF WORK:
Replacement Windows(20)and Doors(2) — rti,gar
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply: //
_Mechanical _Gas Tank _Gas Piping _Shutters VWindows/Doors
_Electric —Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$35,444 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJOHN GILES Name:Sam Ochstein
Address:5890 WHIPOORWILL LANE Company:Newsouth Window Solutions
City: FORT PIERCE State:FL Address:2526 Okeechobee Blvd.
Zip Code: 34987 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
1
DESIGNER/ENGINEER: I Not Applicable –MORTGAGE COMPANY: _Not Applic e—'
Name: Name:
Add ress: Address:
City: State: City: State:
Zip: one Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Ap BONDING COMPANY: _Not Applicabl
.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 thepermit 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
"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 OR AN ATTORNEY BEFORE RECORDING YOIR NO E F COMMENCEMENT:
S' a re of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
�TZATE OF FLOR STATE OF FLORI
COUNTY OF ��,n,� 6an_h COUNTY OF 1n-� Q�eaCh
The forgoing instrument as acknowledged before me The forgoing instrument was acknowledged before me
this�( day of�y�,20 I� by this Q�' ay of �l 2Q� by
c l DIS n 1..� ► IPS ���"` T(J l � i,� ---
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification ✓ Personally Known ,uced Ike 1qqqRnAV4.LG
Type of Identification Type of Identification ,=°1 ` "_State of Florida-Notary Publi
Produced c i verst n Produced Commission #GG 196943
OF FIO�� MY Commission Expires
"1111F`, March 15, 2022
{Si nature of otary Public-Sta pHI�IP G. PER S na re of No blic-State of Florida
`� µV PU iIC.
0`9 State of Florida-Nota y
Commission No. = 14ommission 4 GG 66547 i ion No. (Seal)
�W,_ My Commission O R1
December 10,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19