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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 Permit Number: ® 1
LJ
RECEIVED
•
Building Permit Application
AUG 2 1 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE: O
r.
PROPOSED IMPROVEMENT LOCATION:
Address: 1551 S.BROCKSMITH ROAD,FORT PIERCE,FL 34945
Property Tax ID#:2317-241-0005-020-1 Lot No.
Site Plan Name: Block No.
Project Name: VICTOR&LINDA BEATY
DETAILED DESCRIPTION OF WORK:
Replacement Windows(13)
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:$19,000 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameVICTOR&LINDA BEATY Name:Sam Ochstein
Address:1551 S.BROCKSMITH ROAD Company:Newsouth Window Solutions
City: FORT PIERCE State:FL Address:2526 Okeechobee Blvd.
Zip Code: 34945 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 .
DESIGNER/ENGINEER: _Not Applica MORTGAGE COMPANY: _Not Ap
Name: Name:
Address: Add ress:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Ap a 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 thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenantsthat may restrict or prohibit such
structure.Please consult with your Home Owners 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 OR AN ATTORNEY BEFORE RECORDING YOUR OTIC F OMMENCEMENT A
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Signature of Owner/Lessee/Contracto Agent for Owner Signature of Cont dor License Holder
STATE OF FLOPADA STATE OF FLOR A
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COUNTY OF dNM 0aP h COUNTY OF d► n�_�' aC�
The for oing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this �`aay of u S ,20� by this 1S'nay of���A 20kCi by
V,rJw'r �5 nCti��C -
Name of person making stat ment. Name of person making statement.
Personally known OR Produced Identificationy Personally Known L---O--R Produced Identification
Type of Identification Type of Identification
Produced '�r iy2f5 1 1.
Pnx Produced �;"';;, JENNIFER AVILES
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fFlorida-Notary Public
Commission #GG 196943
My Commission Expires
March 15, 2022
(Sigrfature of No ary Public-State of Florida i (Sign—at ureo o Public-State of Florida )
Commission No. C� �w� (Seal) Commission o. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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_ �-State of Florida-Notary Public
*= Commission # GG 166547
Q� My Commission Expires
December 10, 2021