HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: �• L�' �� Permit Number:
RECEIVED
Building Permit Applicati n
JAN 2 8 2020
Planning and Development Services ST. Lucie Coun , Per
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 LOCATION:
Address: 6031 Petticoat PI,Fort Pierce,FL 34982
Property Tax ID#:3410-503-0335-000-9 Lot No.
Site Plan Name: Block No.
Project Name: a 6zim
DETAILED DESCRIPTION OF WORK;,,
Replacement 6 Windowsn ,�
-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:$8,600 V, Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE; CONTRACTOR;
Name ; Ci i S+tv Name:Steve Lambert
Address-6031 Petticoat PI Company:Newsouth Window Solutions
City. Fort Pierce State:FL Address:2526 Okeechobee Blvd.
Zip Code: 34982 Fax: City:West Palm Beach State:FL
Phone No.772)353-0203 Zip Code: 33409 Fax:561-478-4100
E-Mail:jtbsil@yahoo.com Phone No 561-712-9000
Fill in fee simple Title Holder on next page(if different E-Mail'estpalmbeach@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 LAIN 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 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 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 Horne 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
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM ENCEMENT A
Signature of Owne(/Lessee/Contractor as Agent for Owner Signature of Contra or/Lice se Holder
STATE OF FLORPA STATE OF FLOF9A
COUNTY OF k�gtM 3P �r1 COUNTY OF 1 Cern F�PQC I'1
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2;1� day ofZn&ndCxr/ ,20W by this a day of 20AD by
CYN61 <')1 VJe9\V 127 r+
Name of person making statement. Name of per on making statement. 10 C
Personally Known OR Produced Identification w""" Personally Known /OR Produced Identification °
Type of Identification !, Type of Identification 16 a
ProducedN
_ Y� Produced � 8 '
V
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2" o
(sigriliture of Notary Pu lic- HILIP G�. PERO ISi ure of otary Public-State of Florida )
` �PpY PU84� ubllc OJt• �i
$ atg'of Florida-Notary //++ p a
Commission No. ==1 �._( �dmissi0n a GG 16.5a fission No.G& f!7 l 7� (Seal)
My Commission Expof
ER
December 10, 202
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