HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: add -dig
RECEIVE®
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Building Permit Appli U013030 `199,
Planning and Development Services
Building and Code Regulation Division ST, Lytnla CQWnt;Ya Perlrll�llt9
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:Window Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 325 Holly Avenue Port St. Lucie, FL 34952
Property Tax ID#: 3419-510-0294-000-8 Lot No.13
Site Plan Name: Block No. 20
Project Name:
DETAILED DESCRIPTION OF WORK: "
Window Replacement al/YUJOW IdIMP009
U/
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:$_leg, &':*P Utilities: —Sewer ' —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Barbara Reddy Name:Gary Whigham
Address:325 Holly Avenue Company:South Florida Aluminum Products
City: Port St. Lucie State:_ Address:4807 So US Hwy 1
Zip Code: 34952 Fax: City: Ft. Pierce State:FL
Phone No.772-879-7538 Zip Code: 34982 Fax: 772-466-1074
E-Mail: Phone No 772-466-0913
Fill in fee simple Title Holder on next page(if different E-Mail sfapbooks@soflalum.com
from the Owner listed above) State or County License CRC1330712
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value oPHVAC 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 thepermit 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 COMMENCEMENT MUST BE RE RDED AND
POSTED ON THE JOB SITE B HE FIRST INSPECTION. IF YOU INTEND OBTAIN CIN , CONSULT
WIT LENDER OR TTORN BEFORE RECORDING YOUR N O OMMEN ENT."
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Signature of Owner/Lessee/ on ractor as Agent for Owner Signature of Contractor/License er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The forging instr ment was acknowledged before me The for ' g instru ent was acknowledged before me
thi E day of CIM V 2Q�j by this day of M�1_1_ 20c&y
GARY WHIGHAM GARY WHIGHAM
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature f i,�' Public-At pMtpplda) (Signatu - a F or'd
?°; Notary Public•State of Florida Y p•..,
Commissio �e`,.' Commission#GG 93$�Q� �` �eG..: MARY ANN MATONTI
1; 2� Commiss r^ Notary Public-State of Flori(k I)
F fres Jan 2 , 4 Qr ommission#GG 938390
Bonded through National Notary Assn. '?oF n° ` My Comm.Expires Jan 24,2014
Banded Enrougn 1 lational Notary Assn.
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