HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 8/�
Date: ' Permit Number:
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Building Permit Application 0
Planning and Development Services
Building and Code Regulation Division of
2300 Vrginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential ✓
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 7103 WINTER GARDEN PARKWAY,FORT PIERCE,FL 34951
Property Tax ID#:1301-613-0158-000-1 Lot No.
Site Plan Name: Block No.
Project Name: PATRICK GILLESPIE
DETAILED DESCRIPTION OF WORK:
Replacement Windows(9)and Doors(1)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters "indoors/Doors
_Electric —Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$15,000 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NamePATRICK GILLESPIE Name:Sam Ochstein
Address:7103 WINTER GARDEN PARKWAY 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 Halder 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:
DESIGNER/ENGINEER: _Not Applicabl MORTGAGE COMPANY: Not Ap 1'
Name: Name:
Address: Add ress:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not ale BONDING COMPANY: _Not A
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 certify that 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 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 OIWNER: 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 YOUR NOTICE FCOMMENCEMENT:'
Signature of owner/Lessee/Contractor as Agent for Owner Signature of Contra cYor/License Holder
STATE OF FLO DA //���� ���� �� STATE OF FLO��jD�{
COUNTY OF �0A I:X�SN'h COUNTY OF'(2 M c,-
The forg ing instrumenj was acknowledged before me The forigptg instru nt was acknowledged,before me
t h 20fId yo20E by
�o.�r SGC t� .� � eSDie � .o•• �chS ��n
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known L,— OR Produced
Type of Identification Type of Iden is tion JENNIFER AVILES
Produced Produced ,��YP"eati f Florida-Notary Public
=. +_ Com43
mission # GG 1969
ac aig.
"%4� oQ�� My Commissio2022pire
1,4a* 010
��,�;;;.� March 15,
(Signature of Notary P blic-State of Florida I (Signature o ry Public-Sta ori a )
Commission No. (Seal) Commission o. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
;iypVe% PHILIP G. PEROTTI
State of Florida-Notary Public
Commission# GG 166547
December 10, 2.021