HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION i0 BE ACCEPTED ^ 11 • _iL�-CJ(•„ n�
Date: Permit Number: �I �Ll�
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
PERMIT TYPE: Windows/Doors
PROPOSED IMPROVEMENT LOCATION:
Address: 1102 Saeger Ave, Fort Pierce, FL 34982-7602
Property Tax ID#: 3403-502-0287-000-2 Lot No.223
Site Plan Name: Ogden Block No.
Project Name: Ogden
[DETAILED DESCRIPTION OF WORK:
Replacement 1 Slidinq Glass door & 9 Windows
I
}CONSTRUCTION INFORMATION:
I................... .. N....,.....M V ,............,......F+p..r.
_Mechanical _ Gas Tank _ Gas Piping —Shutters X_ Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 15,300.00
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
j OWNER/LESSEE:
CONTRACTOR:
Name Jeffrey & Kristel Ogden
Name: Jeffrey Walsh
Address:1102 Saeger Ave
Company: Liberty Home Builders
City: Fort Pierce State:FL
Address: 257 SE Monterey Road
City: Stuart State: FL
Zip Code: 34982 Fax: NIA
Phone No. NIA
Zip Code: 34994 Fax: 772-324-8578
E-Mail: NIA
Phone No 772-263-1113
Fill in fee simple Title Holder on next page (if different
E-Mail matt@libertyimpactwindows.com
from the Owner listed above)
State or County License CGC 1504157
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 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.
I
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory cessory 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 B E FIRST INSPECTION. IF YOU INTEND TO OFINANCING, CONSULT
WITH YOUR LENDER OR A TT N BEFORE RECORDING YOUR q#OTICE OFF ENCE ENT._"
i
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of r Lessee/Contractor as Agent for Owner
Signature of ntractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA 1'
COUNTY OF m ar11.-n
COUNTY OF I 1 ' 1�4 I
I 1 1�
The forgoing instrumerlt was acknowledged before me
The forgoing instrument was acknowledged before me
this a day of CMCC , 20ii by
this Iff day of aAemI [,f _ 20J) by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Prod ed
Produced
a
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ignature of Notary PWW'121Fj3rid906ission FF 899906
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ign ure of Notary Public- State r" .? ,Z-Commission ,:#.F
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through
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19
20191 r Assn.