HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, fort Pierce FL 34982
Phone: (772) 462-15S3 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 745 SE Airoso Blvd, Port St Lucie, FL 34983
Property Tax ID it: 3419-545-0043-000-2 Lot No58
Site Plan Name: Block No.
Project Name: Melissa Ann Chodubski
I DETAILED DESCRIPTION OF WORK:
Install 6 ImDact windows and 3 Doors
I 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
Total Sq. Ft of Construction:
Cost of Construction: S 28,200
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic BuildirgHeight:
Pitch
OWNER/LESSEE:
CONTRACTOR:
NameMelissa Ann Chodubski
Name: Ronald Heath
Address:745 SE Airoso Blvd
Company: Max Guard Hurricane Windows LLC
City: Port St Lucie State: FL
Zip Code: 34983 Fax:
Phone No.814-572-6345
Address:2253 Vista Pkwy, Ste 12
City: West Palm Beach Stater
Zip Code: 33411 Fax:
Phone No 561-276-7100
E-Mail: kenchubs*Aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailRheath@maxguardhurricane.com
State or County License SCC131151738
If value of construction is 5Z5uu or more, it ra:uunucu nuaca V 1 • may'••--•
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 Applicable
Name. Name:
Address: Address: _
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Ad
Not Applicable I BONDING COMPANY: __ Not Applicable
Name:
Address:
City: City:
Zip: Phone: Zip: _ _ Phone:
OWNER/ CONTRACTORAFFIDW T: Application is hereby madeto obtain a permitto clothe workand installation as indicated.
I certifythat no work or installation has commenced pr'iorto the issuance of a permit.
St. Lucie Counttyy makes no representation that Is grantin�t a permitwill authorize the permit holderto build the subject structure
which is in corfflict with any applicable Home OwnersAs3onation rules, bylaws or and covenantsthat may restrictor 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 FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOME OF COMMENCEMENT."
Signature of Owwnneer/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FSTATE
OF FL
COUNTY Of �U�IA YVI Cj(-'
COUNTY OF 1'ryn
The oing instru ie t was acknowledgyd efore me
20,J_�by
ThefQrgoing instruMen was acknowledge ore me
this dN�� L)CZ 2U 77 by
this, day of _,
ram•
��
Name of person making statement.
Name of person making statement.
Personally Known _ OR Prod cation
Personally Known —�/— OR Produced Ide
n
Type of Identification
Type of Identification
P uced
Prcwuced
�fA r 9
F1 n 9
O
(Signature of NotprVlyubl*lc-Florida I �¢ cP
Signature of N Public- State of Florida I
ne $y��
, IState1of
Commission No. ( t3 Vk ` (Seal) s���
Commission No.(Seal)�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
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MANGROVE
COUNTER
REVIEW
REVIEW
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DATE
RECEIVED
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DATE
COMPLETED
ev.2/419