HomeMy WebLinkAboutpermit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 349192
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Permit NLmber
Building Permit Application
Commercial Residentialy
Address: 4909 Magnolia Avenue, Fort Pierce, FL 34982
Property Tax IDk 3404-501-0398-000-3 Lot No.
Site Plar Name: Block No.
Project Name: Jonathan Supreet Fmga
A
DETAILED DESCRIPTION OF WORK: I
13
CONSTRUCTION INFORMATION:
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Additional workto 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: $ X50' 131 (00 O
168142.8, I(0�SI-
Generator
Sq. Ft. of First Floor:_
/Wirdows/Doors
_Roof Pitch
Utilities: _Sewer _Septic Building Height: _
OWNER/LESSEE:
CONTRACTOR:
NameJonathan tSupreet Fraga
Name: Steve Lambert
Company: Newsouth Window Solutions
Address:4909 M gnolia Avenue
Com: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No.772418-6925
Address:2526 Okeechobee Blvd.
City: West Palm Beach State:FL
Zip Code: 33409 Fax: 561-4784100
Phone No 561-712-9000
E -Mail:
FlII In fee simple Title Holder on next page ( If different
from the Owner listed above)
E-Mailwestpaimbeach@newsouthwindow.com
State or County License SCC131151763
If value of construction is $2500 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 UEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTORAFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certifythat no work or installation has commenced priorto the issuance Of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holderto build the subject structure
which is in conflict with any applicable Home Owners As ociation rules, bylaws orand covenantsthat 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, Ido 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 afull 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 COMMENCEMENF MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMEIWF MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE RBST INSPECTION. IF YOU INTENDTO OBTAIN RNANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE MENCEMENF.'
as Agent for Owner I Signature of
Holder
STATE OF FLORIDA!� STATE OF COUNTY OF f CL " ��
COUNTY OF `�L� 17 ���
The fo oing instrument was acknowledg;d�before me The forgo' instrujwt was acknowled before me
this �ay Of I` 1t V 200fv by this day of t kQS* 2f� by
G '
Name of person making statement. Name of pers n making statement.
Personally Known OR Produced Identification Personally Known V_,_�011 Produced Identification
Type of Identification Type Of Identification
Produced Produced
X —
(Sign lure of Notary Public- ature of Cry Public-Sta r
PHILIP G. PEROT I oJSY.o4
.. m( .......mmnn uNoraryavoilcSlate
o'i
Commission No. Florda-Notary �c IsslOn NO.Ool�der Dubien
ission N GG 16 om�ss.on GG
es 28 ,.22
REVIEWS I FRONT I ZONING COUNTER REVIEW S REVI WAR RE EW REVIEW VEGETATION S REVIEW LE MANGROVE