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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: sL i.62� Permit Number: . o�
RECEIVED
Building Permit AppliC ion FEB 2 6 2020
Planning and Development Services ST. Lucie Count
Building and Code Regulation Division y� Permitting
2300 Virginia Avenue,fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential _
PERMIT TYPE:
PROPOSED IMPROVEMENT`LOCA ION:
Add r ss Aqua Ra Dr,Hutchinson Island,FL 34957
Property Tax ID#:4511-811-0002-030-4 Lot No.
Site Plan Name: Block No.
Project Name: Robert&Joyce U X%CJ
DETAILED DESCRIPTION OF WORK:
Replacement*Windows
Q,
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: Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameRobert&Joyce heaug, Name:Steve Lambert
Address:Aqua Ra Dr Company:Newsouth Window Solutions
City. Hutchinson Island State:FL Address:2526 Okeechobee Blvd.
Zip Code: 34957 Fax: City:West Palm Beach State:FL
Phone No.772-229-1156 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: Add ress:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: 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 certifythat 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 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 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 CONNENCENENT NAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB STYE BEFORE THE FIRST INSPECIRON. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF , N ENCENENT.
144tz�' 9.
Signat of caner/Less /Contractor as Agent r Owner Signature of Contractor/License Holder
STATE OF FLQAIDA STATE OF FLO�DA
COUNTY OF�V!+ v COUNTY OF b 115�rin
The forgoing instru ent was acknowled d before me The forgoing instr ent was acknowledged before me
this,( L day of 20by this day of . 20a�iby
cncl
Name of p rson making statement. Name of pL4son makiing L statement.
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of IdentscationType of Identification
Produce M i(�1k D� Produced
c
{Sign ture of Notary Public ture NotaryPublic-State
PHILIP G. P E R O T =a,,xr Pier Notary Public State of da
RY PUBS,
Commission No. _ �_ t� of Florida-Notary ublic nnifer Dubien
*- CoHmission # GG 16 fission No. f.fi�ar, Commission GG 1 9 0
=� My Commission Exp res ' c.Moa Expires 6142812022
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