HomeMy WebLinkAboutBuildling Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
•
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERMITTYPE: Windows & Doors
PROPOSED IMPROVEMENT LOCATION:
Address: 11000 S Ocean Drive 3-C
Commercial Residential X
Property Tax ID #: 4512-701-0027-000-1 Lot No. 12
Site Plan Name: Vandling Block No. 37S
Project Name: Vandling
DETAILED DESCRIPTION OF WORK: I
Replacement of 3 Windows & 2 SGD
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit— check all that apply:
_Mechanical
Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 19,250
_ Gas Piping
_ Sprinklers
Shutters
_ Generator
Sq. Ft. of First Floor:
XWindows/Doors
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Theodore Vandling
Name: Jeffrey Walsh
Address: 607 Oleander Drive
Company:Liberty Impact Windows & Doors
City: Hallandale State:
Zip Code: 33009 Fax:
Phone No. 954-817-6612
Address: 257 SE Monterey Road
City: Stuart State: FL
Zip Code: 34994 Fax: 772-324-8578
Phone No 772-444-7112
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail info@libertyimpactwindows.com
State or County License CGC 1528257
n •aura m Lomcrurnon is ovuu or more, a 11MUKUtU Notice of C.Olmnencement 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: x 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OW1k ATTORNEY BEFORF OFM1mwc vnun tunrtrF nF rna UCUra:UCo n
Sign a of ner/ Lessee/Contractor as Agent for Owner
Signature o ntractor/License Holder
STATE OF FLORIDA
STATE OF FLORID
COUNTY OF�//A-e7
COUNTY OF— I
The for oing instrum t was acknowledged before me
The forgoing instrumempas acknowledged before me
this day of 2g0Wby
this,2 xday of�/T 20do by
Name of person making st ent.
Name of person making state nt.
Perso Ily Known Produced Identification
Personally Known OR Produced Identification
Typ of dentification
Type of ntification
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