HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST
..B��E,,COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Permit Number:
RECEIVED
Building Permit Applica on
MAR 0 3 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: \\�1O —zw�-
PROPOSED IMPROVEMENT LOCATION:
Address: 6028 Santa Margarito Dr,Ft Pierce,FL 34951 P J
Property Tax ID#:1312-502-0011-000-2 Lot No.
Site Plan Name: Block No.
Project Name: John Grace& Shirley Ross
DETAILED DESCRIPTION OF WORK:
Replacement 10 Windows and 1 Doors
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:$33,000 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJohn Grace&Shirley Ross Name:Steve Lambert
Address:6028 Santa Margarito Dr Company:Newsouth Window Solutions
City. Ft Pierce State:FL Address:2526 Okeechobee Blvd.
Zip Code: 34951 Fax: City:West Palm Beach State:FL
Phone No.772-577-9079 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:
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 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 theermit holderto build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or andpcovenantsthat 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 1 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 NOTitE 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
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:
Signa of Owner/Lessee/Contractor as Agent for Owner Signature of Contra r/License Holder
CO NTY C ?AD4 STATE OF FLO,R�DQ Q�
5�,, ff��CA G41 COUNTY OF Jr�lf'�
Theorgoing instrument was acknowledged before me The for oing instrWnent was acknowledged before me
thisnday of L,20�by thisdayof I 2020 by
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Name of person making statement. Name of pe on making statement.
Personally Known OR Produced Identification Personally Known�OR Produced Identification
Type of Identification °°��,, Type of Identification
Produced J/i.s Produced IN
CAQRY°4e4 Notary Public State of Flo id
"► +
Jennifer Dubien
a„ c` My Commission GG 1797)0
• "+� c� Expires 01 r2&2022
(Signature of Notary Public-St rl a PHILIP G. T urery Public-ota frFttfiiya`Y
State of Florida-Notar 6547
Commission No. Ga- e�Qmmission # GG 1
-s f y Commission E 2 r-h sion No. l Q (Seal)
oF����� December l0. Z
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
lev.2/7/19