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HomeMy WebLinkAboutBuilding Permit Application Sir All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `� r - 12 Date: Permit Number: V U� L f RECEIVED Building Permit Application Planning and Development Services AUG 13 2019 Building and Code Regulation Division 2300I<rginia Avenue,Fort Pierce FL 34982 ST. Lucie County, Permitting Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residentla PERMIT TYPE: 1 , �• N � �© PROPOSED IMPROVEMENT LOCATIO : Address: 7305 MYSTIC WAY,PORT ST LUCIE,FL 34986 Property Tax ID#:3322-620-0034-000-9 Lot No. Site Plan Name: Block No. Project Name: SHEPHERD&PATRICIA RICHARD DETAILED DESCRIPTION OF WORK Replacement Windows(1)and Doors(4)— 1 rr One, �- CONSTRUCTION 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:$ 16,930 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameSHEPHERD&PATRICIA RICHARD Name:Sam Ochstein Address:7305 MYSTIC 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: 561-4784100 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: DESIGNER/ENGINEER: _Not Applicable 'MORTGAGE COMPANY: _Not Applic Name: Name: Address: Add ress: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applica ONDING COMPANY: _Not Applica Name: Name: Address: Add ress: City: City: LZip: Phone: Zi 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 holderto 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 RNANCIfNG, CONSULT WITH YOUR LENDER OR AN ATTORN ORE RECORDING YOUR NOTICE F COMMENCEMENT. t� Signature of Owner/Lessee/Contractor as Agent for Owner Signature of ontra or/ ice se Holder STATE OF FLOftftn STATE OF FLORIPA COUNTY OF I �C,�i. COUNTY OF Wry, beche-kN The for oing instru ent was acknowledged before me The forgoing instru nt was acknowledged before me this] `Ziay of I V�&A—,20A by thisl�'Iday of t IQV_1 A 20_6 by 51ne phe rdl S PaA r r C gat IGS%'r c-8 N-+ ((,_h S k—o e% Name of person making statement. Name of person making statement. ""' P�I��F1Por'� � ;it n� Personally Known ✓OR Produced Iden if" a " Personally oyr �P a of Torr Type of I a of Identification �,,,,,,,, JENNIFER AVILES mmission#GG 186547 Type Produced fission Expires Produced ,� Y"ba'seta=of Florida-Notary Publi Decem er , 2021 _ ' _• Commission #GG 196943 y, ° My Commission Expires nn;,`,i��° March 16, 2022 {Signature of Notary u l u§tpte offti (Sl gnatur otary Pu i - rida ) iate or Florida-Notery Public r,p*,mi ion # Commission No. ,,n.y CGG 186647 A.Sion Expires Commis ion No. (Seal) ' 6,c!cember 10, 2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.2/7/19