HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT TYPE: Windows & Doors
PROPOSED IMPROVEMENT LOCATION:
Address: 12396 Harbour Ridge Blvd Unit 5-6
Property Tax ID #: 4426-807-0038-000-2
Site Plan Name: Schuette
Project Name: Schuette
DETAILED DESCRIPTION OF WORK:
Replacement of 12 Windows & 1 SGD with I
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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: $ 31,340
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mark & Patricia Schuette
Name: Jeffrey Walsh
Address: 12396 Harbour Ridge Blvd Unit 5-6
Company: Liberty Impact Windows & Doors
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No. 404-663-1749
Address: 257 SE Monterey Road
City: Stuart State: FL
Zip Code: 34994 Fax: 772-324-8578
Phone No 772-444-7112
E -Mail: NIA
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail info@libertyimpactwindows.com
State or County LicenseCGC 1528257
n varve or construction is >zsuu 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: x Not Applicable
MORTGAGE COMPANY: _( Not Applicable
Name:
Name:
Address:
_
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: XNot Applicable
Name:
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 BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER TTORNEY BEFORE RECORDING YOUR OF MENCEMENT."
Si a er Lessee/ ntrador as Agent for Owner SigContractor/License Holder
STATE OF FLORIDA/4 STATE OF FLORIDA
�r COUNTY OF
COUNTY OF /r
The forgoing instru t was acknowledged before me The fo oing instrument was acknowledged before me
this -f_ day of 20-20 by this day of y rx 20�)Oby
k "t'd,
Name of personaking tement. Name of person maki g statement.
1/OR Produced Identification
Personally Known OR Produced Identification Personally Known
Type clAdentification Type of Identification
Prod Produced
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(_44nati1re of Notary ublic- State o Lure of Notary Public- S CHRISTINA FORTIN
y,a• CHRISTINA FORT 4✓ °'' Notary Public -State of Florida
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