HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: DA\a�7.d Permit Number: a,�j O a-6 c155
• _ RECEIVED
Building Permit Applic do
Planning and Development Services
Eg 10 z�20
Building and Code Regulation Division ST..Lucie County, p mittin
2300 Vrginia Avenue,Fort Pierce FL 34982 9
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 7903 Plantation Lakes Dr,Port Saint Lucie,'FL 334986
Property Tax I D#:3321-801-0066-000-4 Lot No-_f'.4
Site Plan Name: Block No.
Project Name: Gloria&Floyd Woodson
DETAILED DESCRIPTION OF WORK:
Replacement 14 Windows "aM
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:$219900 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameGloria&Floyd Woodson Name:.Steve Lambert
Address:7903 Plantation Lakes Dr Company:Newsouth Window Solutions
City: Port Saint Lucie State:FL Address:2526 Okeechobee Blvd.
Zip Code: 334986 Fax: City:West Palm Beach State:FL
Phone No.203-305-4370 Zip Code:33409 Fax:561-478-4100
E-Mail:randdil@att.net Phone No 561-712-9000
Fill In fee simple Title Holder on next page(if different E-Mailw'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 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: 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 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 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 11110TiCE 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 SIITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:°
Signature o Owner/Lessee/ ontractor as Agent for Owner Signature of Contractor/ cense Holder
STATE OF FLOVDA STATE OF FLO
COUNTY OF I'G ke'r ' &,acrn COUNTY OF Kaiw1 Pen ch
The forgoing instrument was acknowled d before me The for oing instr ment was acknowledPP�d��b�efore me
this 2i day of 94_—j Z,1ouf-,20 by this day of 20dUby
LQ,__,bee=
Name of pe on making statement. Name of pe on making statement.
Personally Known " OR Produced Identification Personally Known_ Z�_OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signa ureofNotaryPublic-St Ril�cjda ) PHILIP ll ureo otary ublic-StateTi4'rl
eState of Florid a-Notar P
mmission # GG 1 6547 =a °�e4� Notary Public State of to a
Commission No.� eDubien
a�i J nnifer Commission
""Y commission E p�Isl Sion No. N �je /Commission GG 17 7
December 10, 2 21 4�,'O P�6�V Expires 01'128i2022
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DATE
RECEIVED
DATE
COMPLETED
Rev.217119