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HomeMy WebLinkAboutBuilding Permit Application - I I All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED a � 1 ,��51� Date:\�_T Permit Number: ^ II RECEIVED - Building Permit Application DEC 2 7 M9 Planning and DevelopmentServioes Building and Code Regulation Division ST. Lucie County,Permitting 2300 Virginia Avenae,.Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)4624578 Commercial J Residential PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Address: 3210 S Lakeview Cir 3102,Fort Pierce,FL 34949 Property Tax 1D#:1425-605-0026-000-3 Lot No. Site Plan Name: Block No. Project Name:Miichael&Christine Dimov DETAIL•EDDESCRIPTION OF WORK: Replacement 5 Windows and 3 Doors II CONSTRUCTION INFORMATION: Additional workto be performed underthis 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:S 4600 Sa0 Utilities: —Sewer _Septic Building Height: OWNERf LESSEE: CONTRACTOR: NameMichael&Christine Dimov Name• L A— _ �S-��tic►n 0.M(�er,� Address:3210 S Lakeview Cir 3102 Company:Newsonth Window Solutions " City: Fort Pierce State:FL Address•2526 Okeechobee Blvd. Zip.Code:34949 Fax: - may;West Palm Beach state-Y1. Phone NO.C717)877--6453 Zip Code:33409 Fax:561-478-4100 E-Mail:mdimav@comcastnetPhone No 561-712-9000 Fill in fee simple Tltle Holder on next page(If different E-Maillenniferaviles@newsoathwindow.com from the Owner listed above) State or County LicenseSCG 1��M?(A df value of construction Is$2500 or more,a RECORDED Notice of Commencement Is regWred. If value•of.HVAC is$7,500 or more,a RECORDED Notice'of Commencement Is required. I _ All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: \Q, ` Permit Number: I 1 ^a, �5 1 a RECEIVED Building Permit Application DEC 2 � ? D19 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Vrginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772) 462-1578 Commercial J Residential PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Address: 3210 S Lakeview Cir 3102,Fort Pierce,FL 34949 Property Tax ID#: 1425-605-0026-000-3 Lot No. Site Plan Name: Block No. Project Name: Michael&Christine Dimov DETAILEDDESCRIPTION OF WORK: Replacement 5 Windows and 3 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:$460!58 17,S700 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameMichael&Christine Dimov Name:S� SAP,?hfr\ L-amber-1- Address:3210 S Lakeview Cir 3102 Company:Newsouth Window Solutions City. Fort Pierce State:FL Address:2526 Okeechobee Blvd. Zip Code: 34949 Fax: City:West Palm Beach State:FL Phone No.(717)877-6453 Zip Code:33409 Fax:561-47&4100 E-Mail:mdimov@comcast.net 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-GRC4130822" ACL 13��S11c�3 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: Add ress• Add ress• City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: _Not Applicable 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 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 holderto 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 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 NOME 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 YOU LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.- Si jA466V Ownee�r//Lessee/Contractor as Agent for Owner Signature of Contractor/Lice se Holder STATE OF FL STATE OF COUNTY OF��\J EaCY'N COUNTY OFOY C� The forgoing instrument w s acknowledged before me The for oing instrument was acknowledge before me this I day of ,20lq by this 1 day of "J by P(V. CkocP� 21 lgr^)Der -4 Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known_JCR Produced Identification Type of Identification / \ Type of Identification �Produced "f7� l 1 Produced a ^ J 0__�f- (Sigrfhture of Notary Public-Sta PHILIP G. PER i of N ary ublic-State of Florida ) i�pv P(,B!i� 'o ��-State of Florida Nota y Commission No. ommission# GG 66547 P(, Notary Dubh S to of Florid eaq Erni ion No. (.,Ca 7�7 7�� B4� Jennifer Du 1 n o; My Commission �� �iJF Of F��� December 10, J. } My CoRln'lISsO G 178700 �������� + ; EX ares 0112 l/2 22 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TU RTL "'MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE,, COMPLETED Te-v.