HomeMy WebLinkAboutPermit Application - WiseAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2_ 00 Virginia Avenue, Fort Pierce FL Bd992
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE -WINDOWS
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential x
Address: 5846 SUMMERFILD CT. #51 D FORT PIERCE FL 34982
Property Tax ID #: 3490-507-0204-000-4
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No._
Block No.
REPLACE 10 WINDOWS IN HOME WI VINYL FRAME INSULATED GLASS EXISTING ACCORDION SHUTTERS
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: $'5750.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Alam, CARL WISE
Name; MATTHEW MARKS
Company:EAST COAST ALUMINUM PRODUCTS
Address; 5846 SUNAM ERF IELD CT. #51 D
City: FORT PIERCE State: _
Zip Code: 34982 Fax:
Phone No.413-579-7864
E -Mail:
Fill in fee simple Title Holder on next page { if different
from the Owner listed above)
Address:913 EDWARDS RD.
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-464-7603
Phone NI,e772-464-7600
E -Mail ECAPINC�7a HOTMAIL.COM
State or County License 24526
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
BOND114G COMPANY: Not Applicable
Name:
Name:_
Address:
City:_
Address.
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 dome Owners Association rules, bylawvs 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
"WARNINC 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCINC, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S7 Luett COUNTY OF s r. L e+c le
The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this Z z day of 41001 �-202 a by this 2 x day of _ ofPR ► L , 2014 by
Name of person making statement.
Personally Known 41""' OR Produced Identification
Type of Identification
Produced
Name of person making statement.
Personally Known
Type of Identification
Produced
,__�OR Produced Identification
DATE
RECEIVED
DATE
COMPLETED
(Signature of Notary Public- Stat
'd TARYPUBLIC
(Signature of Notary Public- State of Florida �WTH HOLMAN
NOTARY PU6UC
TAT OF FLORIDA
Commission No. G+�973LSIcs (
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Commission No. X9.7 Lv�
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