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Date. Permit Number;
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Vuginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE
PROPOSED IMPROVEMENT LOCATION:
Address: I Lake Vista Trl, Port St Lucie, FL
Property Tax ID It: 3422-500-0013-000-4 Lot No.
Site Plan Name: Block No
Project Name: William & Virginia Gillespie
DETAILED DESCRIPTION OF WORK:
Replacement 5 Windows
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:.
Cost of Construction: $ 9,021
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William & Virginia Gillespie
Name: Steve Lambert
Address:I Lake Vista Trl
Company: Newsouth Window Solutions
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
Phone No.864-918-1263
Address:2526 Okeechobee Blvd.
City_ West Palm Beach State:FL
Zip Code: 33409 Fax: 561-478-4100
Phone No 561-712-9000
E-Mail:
RII in fee simple Title Holder on next page (If different
from the Owner listed above)
E-Mailwestpalmbeach@newsouthwindow.com
State or County License SCC131151763
1VOWU of wnxFucuon o wuu or more, a,¢wnutU nonce of LOmmencement 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
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIIT: 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 holderto build the subject sy�ir, cture
which is In conflict with any applicable Home Owners Association rules, bylaws or and covenants tat may restrict or prohi�it 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 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 exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pooh, fences, walls, signs, screen rooms and accessory uses to another non-residential use
'WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTHf 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
nl IN IUUK LLNUlMUM M AIIUKNLT 15LMKL RLI.URUINU TOUR NO IICL OF
as Agent for Owner
STATE OF FLORI STATE OF FL77
COUNTY OF krrl �nckN COUNTY OF Mn NCrnC in
The sing instrument wa acknowledgv"efore me The fo�ping instr nt w acknowledged before me
this day of t 1% by this day of 2620by
L,6-'\\:n r10 Cam; \ 4P S�Pr atv K4-
Name of person making statement. Name of persob making statement.
Personally Known OR Produced Identification 1,� Personally Known __,gfL`0R Produced Identification
Type of Identification Type of Identification
Pmrh.r A D L' Dr I..'.A
re at Notary
of
Commission No.
REVIEWS I FRONT I ZONING
COUNTER REVIEW
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SUPERVISOR
PLANS VEGETATION I RE EW I REVIEW SMANGROVE
I REVIEW
REVIEW