HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/28/20 Permit Number:
O LP
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: WindOW/DOOr
PR6IsOSEL7 IMPROVEMENT LOCATION:
Address: 6l LaKe vista I rail Unit 107
Property Tax ID #: 3422-500-0427-000-9 Vista St Lucie BLDG 31 Unit 107
Site Plan Name: Gibson Window & Door
Project Name: Gibson
Lot No.
Block No.
Replacing 17 Windows and 1 French Door all with Impact Rated Products
Horizontal Roller HR5510 NOA# 17-0411.08 Single Hung SH5500 NOA# 17-0630.05 Picture Window PW5520
NOA# 19-1126.10 French Door FD5555 NOA# 18-1108.03 Mull Bar NOA# 17-0630.01
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 24,048.00
_ Generator
Sq. Ft. of First Floor:
_ Windows/Doors Pond
_ Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
O W N ER/LES5EE:
CONTRACTOR:
NameJanis Gibson
Name: William Miller
Address:31 Lake Vista Trail Unit 107
Company: ODonnell Impact Windows and Storm Protection
City: Port St. Lucie, FL State: _
Zip Code: 34952 Fax:
Phone No.772-249-5825
Address:1740 NW Federal Hwy
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No 772-408-0200
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail odonnellpermitting@gmail.com
State or County License CGCO35934
-�•�� �• „�•, „ a uu v, mute, a ncwnutu ivouce oT commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPUMNTAL CQNSTRUCTIOhI
LIFO
FORMATION:
DESIGNER/ENGINEER: _ Not A (cable
MORTGAGE COMPANY: Not App ' able
Name:
_
Name:
Address:
Address:
City: State:
City: State:
Zip: Phon
Zip: Phone:
PLE TITL" OLDER: _ Not Applicable
BONDING COMPAN Not Applicable
Name:
;Address:
Address:
City:
Phone:
Zip_
OWNER/ CONTRACTOR AFFIDVIT: Application is herebynnade 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 Countyy 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 that
covenants 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 paying twice for
improvements to your property. A Notice of Commencement must be recorde 1 the public records of St.
Luc' County and p ted on the jobsite before the first in peclion f you inten o btain financing, consult
w' I er an me before commencin work or rdi our Notic f ommencement.
ture o Own Le e/Contractor as Agent for Owner sl of ontr atof/License older
STATE OF FLORI STATE OF FLORI,pf
COUNTY O 111, �i COUNTY OF �j 11 jj ,
,
Swor o r ffirmed) and subscribed before me of Swor o or affirmed) and subscribed before me of
i al a or _Online Notarization Pres e or Online Notarization
this day of 202D by this day
of 2020 by
`M
Name of person making/st/atem" ent. Name of person making st ment.
Personally Known ,� OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Proidyced Produ ed
LIA
(Signature tf Notary Public- S(a e of Floridt4mn Alien (Signature of tary� tate of F+ �-Al
�
Commission No. _ 4mp.OGG366562 Commission No. n Co11milt(r, 366562
Expires: Sept 30, 2023
z' _' Fx1es: Se 30, 2023
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.