HomeMy WebLinkAboutBuilding Permit Application N5� .
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a. Na -,�4 Permit Number: aa16'k 1
RE
_ CEIVED
•
. .. FEB 10
- Building Permit AppliC tionZoza
Planning and Development Services ST Lucie Coun
Building and Code Regulation Division t1', Permittln9
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 1251 Nettles Blvd,Jensen Beach,FL 34957
Property Tax ID#:4502-501-1438-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Keith&Patricia Hardy
DETAILED DESCRIPTION OF'WORK:
Replacement 6 Windows and 1 Doors yn
FCONSTRUCTION INFORMATION:
Additional work to be performed underthis 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:$15,485 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameKeith&Patricia Hardy Name:Steve Lambert
Address:1251 Nettles Blvd Company:Newsouth Window Solutions
City. Jensen Beach State:FL Address:2526 Okeechobee Blvd.
Zip Code: 34957 Fax: City:West Palm Beach State:FL
Phone No.772-349-2421 Zip Code:33409 Fax:561-478-4100
E-Mail: 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 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-hold'e'r to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenantsthat 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
4WARNINC TO OWNER: YOUR FAILURE TO RECORD A NOTKE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TOTAIN RNANCINC, CONSULT
1'1i1TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N0710E O ENCEMENT. w
Signature of Owner/Lessee/Contractor a t for Owner Signature of Contractor/License Holder
STATE OF FLQMPASTATE OF FLOP
COUNTY OF GXV!L\e I6PC7'CyN COUNTY OF Ct
The forgoing instr ent was acknowledged before me The forgoing instrument was acknowledged before me
this dayof E3EbCLAQ0l ,20 by this day of l- b(u&C6r4 2600 by
Name -of person making stent. Name of person making statement.
Personally Known OR Produced Identification✓ Personally Known ✓ OR Produced Identification
Type of Identification p Type of Identification
Produced D t.✓ Produced
{Sign ture of Notafy Public nature Notary Public-State of Florida
PHILIP G. PEROTT
Commission No. G B`�_Stt��ti����pp��f Flerid8-NatBry P iiC Y ops
NC ppblic State of Flonda
.= Mo7YN�ission # GG.1665 rnlsslOn No. G Je41 f r,Dubien
My Commission Expl,rMy Commission GG 179700
ber 10. 2021 es Ex res 01/28/2022
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