HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED //�� A
Date:2, 21 a zo Permit Number: 2 -l J 1 O �
+ RECEIVED
Building, Permit APPlicatio
FEB 2 6 2020
Planning and Development Services
Building and Code Regulation Division ST. Lucie County,Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATI N:
Address: Aqua Ra Dr,Hutchinson Island,FL 34957
Property Tax ID#:4511-811-0002-020-1 Lot No.
Site Plan Name: Block No.
Project Name: Robert&Joycei�ovag X20 q
DETAILED DESCRIPTION OF WORK:
Replacement ftindows
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:$'1*9739 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: ,CONTRACTOR:
NameRobert&Joyce Yemnng Name:Steve Lambert
Address:Aqua Ra Dr J Company:Newsouth Window Solutions
City. Hutchinson Island . State:FL Address:2526 Okeechobee Blvd.
Zip Code: 34957 Fax: City:Fest 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 holderto build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws orand 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 considerationof the granting of this requested permit,l 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 NOTA 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 commENCEMErmn
Signatu riotOw er/Lessee/Cqoridor as Agent for Owner Signature of Contractor License Holder
STATE CV FL O STATE OF FLOR
COUNTY OF COUNTY OF )12::;&m
1CIn
The.for oing instr ment was acknowled ed before me The forgoing instr ent was acknowledged before me
this,day of _,20g�by this day of 1�tln r 20zt7 by
Name of p rson making statem n . Name of pers n making statement.
Personally Known OR Produced Identification_1::::�_ Personally Known OR Produced Identification
Type of Identification ,/�i�� Type of Identification
Produced f ICA DL. Produced
(Sig ature of Notary Public a e,�a, orldRl)l lLIP G. PERU I II is ature Notary Pu lir-Sta
^" tate of Florida-Notary P bl c
rc �i�'1 fission #GG 166 47 °�""yap Notary Public State of Flo d
Commission No. `9 QP `T71y'Commission Expir s o mission No. _ ^(S�ifer Dubien
occ�°�� December 10, 2021 N1 Commission GG 1797110
"��!"� '�FaF�op
Expires 01/28/2022
1
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DATE
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DATE
COMPLETED
ev.217119