HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �`a�1�°� Permit Number: `qh\t)-i-tG
RECEIVED
Building Permit Applica ion AUG 2 9 19!9
Planning and Development Services ST. Lucie County, Permitting
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: 5502 SILVER OAK DRIVE,FT PIERCE,FL 34982
Property Tax ID#:3402-607-0280-000-2 Lot No.
Site Plan Name: Block No.
Project Name: WALTER&VERONIKA SWORDS
DETAILED DESCRIPTION OF WORK:
Replacement Windows(13)and Doors(2) rv\pop
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:$30,000 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameWALTER&VERONIKA SWORDS Name:Sam Ochstein
Address:5502 SILVER OAK DRIVE Company:Newsouth Window Solutions
City. FT PIERCE State:FL Address:2526,Okeechobee Blvd.
Zip Code: 34982 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 I
'SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: Not Appli MORTGAGE COMPANY: Not A
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone ' Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not ca le BONDING COMPANY: _Not Ap
Name: Name:
Ad d ress: 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 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)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 YOUR WTICVPF OM ENCEMENT.
fin V,V
ignature of O er/Lessee/C ntractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORA STATE OF FLORI 2
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COUNTYOFr��r>-. {�eaC '� M(� COUNTYOF_1 � 1'�QcXh_
The forgoing instru ent was acknowledged before me The fo19�inn�g instrument was acknowledged before me
thi ]_ a�r of_ QS� 20� by this�'4fa`y of �u us _,20 07 by
Vio�kAe_ < S L..5OpA.s 4�Ctis %r`
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification_L-�_ Personally Known ..L.-`6R Produced Identification
Type of Identifica on Type of Identification
Produced Produced JENNIFER AVILES
fs b-,Owtemf Florida-Notary Public
=• •_ Commission#GG 196943
My Commission Expires
P�
March 15, 2022
{Sign ture of Notary Public-Stat a I PHILIP G. PEM e,l tary Public-State of Florida )
l( BQ�
=olPyNt State of Florida or
Commission# G 166547
Commission No. SII Cpnixiis n No. (Seal)
My Commission 2021
December 10,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.217119