HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
• Building Permit Application
Planning and Development Services
Building and code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: Door
PROPOSED IMPROVEMENT LOCATION:
Address: 1725 NW Buttonbush Circle
Property Tax ID #: 4426-835-0014-000-5
Site Plan Name: Cremins
Project Name: Cremins
DETAILED DESCRIPTION OF WORK:
Replacement of 3 Sliding Glass Doors
Lot No. 4
Block No.
I 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
Total Sq. Ft of Construction: _
Cost of Construction: $ 16,000
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Gerald & Susan Cremins
Name: Jeffrey Walsh
Address: 180 Pond View Drive
Company: Liberty Impact Windows & Doors
City: Port Washington State: NY
Zip Code: 11050 Fax:
Phone No. NIA
Address:257 SE Monterey Road
City: Stuart State: FL
Zip Code: 34994 Fax: 772-324-8578
Phone No 772-444-7112
E-Mail: tVIA
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail info@libertyimpactwindows.com
State or County LicenseCGC 1528257
If value of construction is 5Z50o or more, a RECVRDED Notice or commencementis requirea.
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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 prior to 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 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 COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE,�S E BEFORE THE FIRST INSPECTION. IF YOU INTEND TO BTAIIN FINANCING, CONSULT
WRH YOUR L nR N ATTORNEY BEFORE RECORDING YOUR NOTICE EMENT."
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Si r ner essee/Contractor as Agent for Owner
a ur ntractor/License Ho e -
STATE OF FLORIDA , /� L
STATE OF FLORIDA �1�
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COUNTYOF /� (u//�'
COUNTY OF / / Ia��n
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this Sdayof %11W1.%1 .20 Q by
this�dayof /Vl(✓c bl 20_Qby
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NameW person mak' st ement.
Name of person making sl�tement.
Personally Known OR Produced Identification
Personally Known V OR Produced Identification
Type of I tification
Type of Identification
Produce
Produced
(Signature of Notary Public- Sta
ati jl a) CHRISTINA FORTIN
(S' nature of Notary Public- Sta a) HRISTINA FORTIN
NotaryPublic State Flo
Commission No.
` ,'-: Notary Public -State of Florida?_:
'-i,, Aeal)Commissicn # GG 9374
M
or n•: y Comm. Expires Dec 5,
W`r"�^.1 of
mission NO. '-'iF�6'w mmisslon # GG 93746
[r���ss. o i`•. Amm. Expires Dec 5, t
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Bonded through National Notary
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19
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IMPACT WINDOWS & DOORS
Window/Door Schedule
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