HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
NOVA 2o�g
- Building Permit Application oePartm t
Planning and Development Services perm{rtL 91e Courts
Building and Code Regulation Division
2300 ifirginla Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE: — ,,,a,_s W 1 0
PROPOSED IMPROVEMENT LOCATION:
Address: 250 Palm Breezes Dr,Fort Pierce,DF 34945
Property Tax ID#:2310-500-0134-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Daniel Owens
I I
DETAILED DESCRIPTION OF WORK:
Replacement 5 Windows and 1 Doors
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:$ 18,392 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameDaniel Owens Name:Sam Ochstein
Address:250 Palm Breezes Dr Company:Newsouth Window Solutions
City. Fort Pierce State:DF Address:2526 Okeechobee Blvd.
Zip Code: 34945 Fax: City:West Palm Beach State:FL
Phone No.(772)242-1487 Zip Code:33409 Fax: 561-478-4100
E-Mail:dowens739@outlook.com 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 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 covenantsthat may restrict or prohibit such
structure.Please consult with your Horne 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 JOE SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WYM YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM NCEMENT.°
Signature of Owner/Lessee Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORU�Q t� �� STATE OF COUNTY OF
le G��Y1 DY1
COUNTY OF �{�
The for oing instrument was acknowledge before me The for oing instrument was acknowledged before me
this 2 day of � V- ,20a by this day of 201a by
env A I 5_ACZer; Lav hpyo '- -
Name of person making statement. Name of person makingstatement.
Personally Known OR Produced Identification Personally Known Y OR Produced Iden ifi a i n
Type of Identification Type of Identificati
Produced Produced tiP9Y Poe Notary Public state of Florida
en
My Commission GG 179700
Expires 01 128/2022
{Signature of Notary Public- ILIP G. PEROT I I nature of Notary Public-State of Florida )
`�^=S�p t�o�'QfFlorida
-Notary P blit
B i�
Commission No. _ �idnission # GG 166 4(90 mission No.GG 1700 (Seal)
My Commission Expir s
P;; December 10, 2021
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