HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
SJ J
•
Building Permit Application
Planning and Development services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: Windows & Doors
PROPOSED IMPROVEMENT LOCATION:
Address: 6000 Silver oak Drive Fort Pierce, FL 34982
Property Tax ID k: 3402-607-0138-000-2
Site Plan Name: Mejia
Project Name: Melia
DETAILED DESCRIPTION OF WORK:
Lot No. 7&8
Block No. 19
Replacement of 5 with Impact
FL NOA 17-1018.08 SH
FL NOA 19-0603.02 PW
CONSTRUCTION INFORMATION:
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: Sq. Ft. of First Floor:
Cost of Construction: $ 9,697 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Benjamin Mejia
Name: Jeffrey Walsh
Address: 6000 Silver Oak Drive
Company: Liberty Impact Windows & Doors
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No. 772-359-7561
Address: 257 SE Monterey Road
City: Stuart State: FL
Zip Code: 34994 Fax: 772-324-8578
Phone No 772-444-7112
E -Mail: NSA
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
.a,,.= W UUnaa aUaan o ;D<ow ar mare, a Rcwnucu notice or Lommencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Signat Contractor/License Holder
DESIGNER/ENGINEER:
Name:
x Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
The forgoing instryment was acknowledged before me
Address:
this day of J.1,41 t . 2019 by
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
Produced
Address:
City:
Commission No. �% 6 7 1k
City:
.titer, CHRISTINA FORTIN
da Nota Public - State of Flo
C No. G 3 4
Zip: Phone:
p GG
My Comm. Expires Dec 5, 2
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 thepermit 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 PrIF, BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER oft ANIATTORNET BEFORE RECORDING YOUR NOTICE OF.QOMMENCIEMENT_^
Si *ec—r[Lessee/c'bntractor as Agent for Owner
Signat Contractor/License Holder
STATE OF FLORIDA1
2Al'
STATE OF FLORIDA
COUNTY - - n
COUNTYOF /I,&, An
The f oing instrument was acknowledged before me
-E
The forgoing instryment was acknowledged before me
this day of JA'b t . 21 by
this day of J.1,41 t . 2019 by
Name of person making statement.
Name of person making/statement.
Personally Known V OR Produced Identification
Personally Known v OR Produced Identification
Type of Identification
Type of Identification
Pro c d
Produced
(Signature of Notary ublic- St
'gnature of of ry Public- Sta
Commission No. �% 6 7 1k
CHRISTINA FORTIN
No ry Public - State of Flor
j5ea�ommission 937464
.titer, CHRISTINA FORTIN
da Nota Public - State of Flo
C No. G 3 4
p GG
My Comm. Expires Dec 5, 2
mmission � q� �' j5eamisslon p GG 937464
23'.'+o My Comm. Expires Dec 5, 20
Bonded through National Notary A
sn. Bonded through National Notary AI
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