HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� � �L"! Permit Number:,l U5q (l
Building Permit AppliCatib4p'n eon
Punning and Development Services ca
Building and Code Regulation Division
2300 Urginia Avenue,Fort.Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 8286 spicebush Ter,port st lucie,f134952
Property Tax ID#:3426-703-0088-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Robert&Mary Morrissey
[DETAILED DESCRIPTION OF WORK:
Replacement 8 Windows and 1 Doors A 11ca c.�
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:$ 15,370 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameRobert&Mary Morrissey Name:Steve Lambert
Address:8286 spicebush Ter Company:Newsouth Window Solutions
City. port st lucie State:fl Address:2526 Okeechobee Blvd.
Zip Code: 34952 Fax: City:West Palm Beach State:FL'
Phone No.(772)475-3667 Zip Code: 33409 Fax: 561-478-4100
E-Mail:aabuckeye@comcast.net Phone No 561-712-9000
Fill in fee simple Title Holder on next page(if different E-Mailwestpalmbeach@newsouthwindow.com
from the Owner listed above) State or County License SCC131151763
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
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Add ress: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: CO:
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 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 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 exempt from undergoing a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WNARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINC
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 RECORDINC YOUR NOTICE OF COMM MENT A
.A
SignatrF
/Lessee/Contractor as Agent r wrier Signature of Contractor/Licens Holder
STATLORIDA STATE OF FL IDA
COUNTY OF��k�n �CCkN COUNTY OF��_Zea-Lb
The forgoing instrument was acknowledged before me The forgoing instrument w s acknowledged before me
this AR_day of_0Rj-Py-^k 3e -- ,26\q by this,.(`T day of 2QLCI by
"fart./ Morn'-5se�, --,)\m� ba_r ber-'�
Name of persQfi making statement. Name of person making statement.
Personally Known OR Produced Identification_� Personally Known OR Produced Identification
Type of IdentscationType of Identification
Produced ���/ Produced
{Si nature of otary Pu I LIP G. pEROTTIVICture otary Public-State of Flor'd
♦PR%Y
:o State of Florida-Notary Pub
Commission No.G C el sion # GG 16654 *arPup� otar Public State of Flon a
Q;c MyCommission Expire mmission No. 7 r � er Dubien
OF F��� December 10. 2021 a My Commission GG 17970
�nnFF dP r_xp,res 01!28!2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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