HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_ ti� `a� Permit Number: kO 0 1- da3 a
RECEIVED
MUM
• _ JAN 14 2020
Building Permit ApplicM-9pie
County, Permitting
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: WindOW's & Doors I W i n O ovj 3 hu,.,-_s
°PRED,"IMPROVEMEN
OPOST LOCATION
Address: 9 6 1 OW1Gt eV
Property Tax ID#: 3321-801-0005-000-9 Lot No. 5
Site Plan Name: Paglianite Block No.
Project Name: Paglianite
..��, _ .. � �. • sem„ :'.R ,.. ,, � _
DfTAI -ED DESCRIPTION OF WORK.
Replacement of Impact WindovW&Doors
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping —Shutters _XWindows/Doors
_Electric _Plumbing _Sprinklers _Generator —Roof Pitch
Total Sq. Ft of Construction: 3,181 Sq. Ft.of First Floor:.
Cost of Construction:$ 35,000 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEt w., CONTRACTOR:
Name Renata Paglianite Name:Jeffrey Walsh
Address:8122 Carnoustie Place Company:Liberty Home Builders
City: Port St Lucie State: FL Address:257 SE Monterey Road
Zip Code: 34986 Fax: City: Stuart State:FL
Phone No. Zip Code: 34994 Fax: 772-324-8578
E-Mail: Phone No 772-444-7112
Fill in fee simple Title Holder on next page(if different E-Mail info@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.
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
"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 COMMENCEMENTU RECORDED AND
POSTED ON THE JOBBEFORE THE FIRST INSPECTION. IF YOU INTEND TO O 1 FIN G, CONSULT
WITH YOUR LENDER O TTORNEY BEFORE RECORDING YOUR NOTICE OF COM "
t
re of . er/Lessee/Contractor as Agent for Owner Signatjife o tract /License Holder
STATE OF FLORIDA STATE OF FLORIDA ,�n
COUNTY OF i'YI a1(61 COUNTY OF /, rle,&A
The fortoing insrument was acknowledged before me The forgoing instrUwnt was acknowledged before me
thisday of P��,�.�Wt.�-_,20 by this day of 20_.)_b by
Name of person makA statement. Name Orpeirson makinif statement. °
Personally Known. OR Produced Identification Personally Known OR Produced Identification a
Type of Identification Type of Identification Er o
Produced Produced 8,
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(Sign e oT Notary Public-State 6f Florida (Signaturre-'o/fkN o iPublic-State of 2brida) a A
�G �3�`0�y (Seal) ^'A
Commission No. l�� � �0 7 (Seal) Commission No. � N
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.217119
lir Pue.: CHRISTINA FORTIN
Notary Public-State of Florida
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oFF;• yComm.Expires Dec 5,2023
Bonded through National Notary Assn.