HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/26/2019 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMITTYPE:window/door replacement
`ROPOSED IMPROVEMENT LOCATION
Address: 1539 NW Buttonbush CirPalm City, FL 34990
Property Tax ID #: 4426-815-0030-000-1
Site Plan Name: HARBOUR RIDGE -PLAT 13- BUTTONBUSH VILLAGE UNIT 23 (OR 3765-69)
Project Name:
Lot No._
Block No.
[DETAILED DESCRIPTION OF WORK: �I
Remove and Replace 23 openings with Impact Rated units.
[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
Total Sq. Ft of Construction: _
Cost of Construction: $ 10,000
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE. -
CONTRACTOR:
Name Gerald L Amorosana (TR)Frances Amorosana (TR)
Address:1539 NW Buttonbush Cir
Name: Don Wllks
Company: Lighthouse Contracting Inc.
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No.
Address:601 Heritage Dr. #480
City: Jupiter State -FL
Zip Code: 33458 Fax:
Phone N0772 485 8412
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail lighthousecontracting@live.com
State or County LicenseCBC1259158
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.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
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 prior to 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 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 TqJEJOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND BTAIN FINANCING, CONSULT
WITH YOU NDE OR AN ATTORNEY BEFORE RECORDING NO OF COM NCEMENT."
Signature wner/ essee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORA.
STATE OF FLORIDA
COUNTY OF �.. l CAJL-
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Name of person making statement.
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Personally Known �Q OR Produced Identification
Type of Identification
Type of Identification
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Produced
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