HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Warning and Development Services
Building and Code Regulationn Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 6019 Travelers Way, Ft Pierce, FL 34982
Property Tax ID #:3410-503-0360-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Carol & Martin Kahn
DETAILED DESCRIPTION OF WORK:
I I Windows N
CONSTRUCTION INFORMATION:
Additional work to be performed underthispermit—check allthatapply:
_Mechanical _Gas Tank _Gas Piping _Shutters V✓Wincows/Doors
_Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 9.500
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameCarol & Martin Kahn
Name: Steve Lambert
Address:6019 Travelers Way
Company: Newsouth Window Solutions
City. Ft Pierce State: FL
Zip Code: 34982 Fax:
Phone No.772-429-0660
Address:2526 Okeechobee Blvd.
City. West Palm Beach State:FL
Zip Code: 33409 Fax: 561-478-4100
Phone No 561-712-9000
E -Mail:
Fill In fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mair+estpalmbeach@newsouthwindow.com
State or County License SCC131151763
IT value or conscrucnon Is iCwu or more, a 1¢CUKULU NOnte of commencement Is required.
If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPL 11il4 TAI CM$TRUCt40N UEN LAW l
TION,
DESIGNER/ENGINEER: Not Applicable ble
Name:
MORTGAGE COMPANY: _Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: NotApplicable
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 grantin 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 antl 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.
Inconsideration 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 afull concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
mPTARMNG TO OWNER: YOUR FAILURE 70 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AM
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WnN YOUR LEMER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFCOI&ENC EMEMT'
Signatdre of Owner/ Lessee/' Contractor as Agent for Owner
STATE OF FLOR{VckIM I STATE OFF PICA
COUNTY OF l! Ch COUNTY OF YCx\M RenC�n
The forgoing instrum nt was acknowledgl before me The forgoing lnstru ent_ rr� was acknowledggd_before me
this_ada of C 20d_Ub this f da of !~nCAs200E
Mekrt� K% X1,1 SNc;bon Qoiry'
Name of person making statement.Name of pers n making statement.
Personally Known OR Produced Identification ✓/Personally Known // OR Produced Identification
Type of Identication(�' Type of Identification
Produced. T ✓I✓ Produced.
State
Commission
REVIEWS I FRONTI ZONING
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