HomeMy WebLinkAboutBuilding Permit Application 7
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ` 3 Permit Number: mi
Building Permit Applicat
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
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCA ION:
Address: 2417 North Ocean Dr,Hutchinson Island,FL 34949
Property Tax ID#:1436-601-0016-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Issac&Cassandra Ivasing 1. '
DETAILED DESCRIPTION OF WORK:
Replacement 12 Windows and 1 Doors —ZY1A eA�,�
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:$27900 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameIssac&Cassandra Lang (1z1��Y�o Name:Steve Lambert
Address:2417 North Ocean Dr Company:Newsouth Window Solutions
City. Hutchinson Island State:FL Address:2526 Okeechobee Blvd.
Zip Code:34949 Fax: City:Fest Palm Beach State:FL
Phone 140.(772)332-1026 Zip Code: 33409 Fax:561-478-4100
E-Mail:-claing790@gmaiI.com 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION::
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Add rens: Add ress:
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 priorto 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 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.
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
P;PnY �ENDEIR
THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO STAIN FINANCING, CONSULT
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE O ENCEMEIYT:°
LV,VWA/0A
Signature of r/Le /Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF O A ;�^ STATE OF FL0J4DA
COUNTY OF l Q�,m ` CaLC'�n COUNTY OF GZ\n1 i32 cy%
The fo oing instrument was acknowledged before me The f oing instrument was acknowledged before me
this day of�o►hl 20� by this day oILACLry ,202 by
Name of person making staternebt. Name of person hiaking statement.
Personally Known OR Produced Identification Personally Known ✓/OR Produced Identification
Type of Identification Type.of Identification
Produced Produced
{Signature o Notary Publi n to of N a Pu lic-State o
PH LIP G. PEROTTI { g ry ��roLe NotaryPubhcState f nda
Commission No. `P °��:St of Florida-Notary Pu lic =° `�. Jennifer Dublen
�ission ik GG 1665 7 mission No.�i(9 17q�t'JD edl)My commission GG 1
1 700
My conmission Expire o-A Expires 01128/2022
Ifni, December 10, 2021 ��or��o
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW I REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.