HomeMy WebLinkAboutHardy-Sauer Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
!OWN"IlIPM
COUNTY
F L O R I ❑
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: Door
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential X
Address: 412 European Lane Fort Pierce, FL 34982
Property Tax ID #: 3410-503-0197-000-9 Lot No. 34
Site Plan Name: Hardy -Sauer Block No. 10B
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement of 1 Door with
CONSTRUCTION INFORMATION:
NUS+ a a 3b3. b
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: $ 2,375
OWNER/LESSEE:
Name Elizabeth Hardy -Sauer
Address: 412 European Lane
City: Fort Pierce
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
State: E
Zip Code: 34982 Fax:
Phone No. 508-736-1936
E-Mail: N A
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: Jeffrey Walsh
Company: Liberty Impact Windows & Doors
Address:257 SE Monterey Road
City: Stuart State: FL
Zip Code: 34994 Fax: 772-324-8578
Phone No 772-444-7112
E-Mail info@libertyimpactwindows.com
State or County License CGC 1528257
., . -ac m 4VIIiM uuRan Fs paaw ur more, a MCLURUCU mouce ar L.dmmencement Is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
x Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
XNot Applicable
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 YIT, BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AAATTORNEY BEFORE RECORDING YOUR NOT OF MENCEMENT."
Si a cire-FTLessee/Ctintractor as Agent for Owner
Signat Contractor/License Holder
STATE OF FLORID)
STATE OF FLORID n
COUNTY OF ,Il(tl
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The forgoing instru ent was acknowledged before me
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of Name person makin:,k!t0ement.
Name of person milking statement.
Personally Known OR Produced Identification
Personally Known V OR Produced Identification
Type of ratification
Type of Identification
Prod ed
Produce
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(Signature of Notary Public- State of Florida )
Commission No. % 3 ! 6 Y (Seal)
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Window/Door Schedule
TId #
Approx Opening Room/Designation
Size (WXH) Window Location Type
impact
Glass
New
Shutte Existing
r Shutter
Remar
ks
1
v x 6'
—Shutter
3
4
5
6
7
8
9
10
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12
13
14
is
16
17
18
19
20
21
22
23
24
25
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