HomeMy WebLinkAboutBuilding Permit ApplicationAll ARPLICFOLF INFO MUST BE EOMPLt r E D FO R AP P UCATI LIN 'rO BE ACCEPTED
Date: 05TT5V2020
PPnmit N urn ber; _
k. WO Building Permit Application
PhmnMv and Drvefav r"Servh:es
&u*9r3.gr &rod Conde "ukton Oivisiarr Corn mE,rc.InI RpSAnntIal
23W Vjeg ricr Avenue, Fort P&Yue ft J4$$Z
Phone: 1772)462-1553 Fax'�7721 62-1579
PFRMIT APPLICATION FOR' Window
PROPOSE D I M PROVEM E PST LOCATi 0N
L
Addre5�: 62U$ Paso Raffles Blvd, Lakcwwcl PI FI 'W351
x
PrprtyTax ID: 1,iU�-0$•�?G€�5-a0� - Lpt No-�
Site FIa n Name' Lalaevtl Pa& , LlniO jBipatyo- 91
P mjp.ct Hams: Thomton•52720 -
EETA1EEb D ESCRIPTI ON O F WO R K=
FRopI:ace� ? windows, s¢e for biz*.
New F lettrical Mtty
Second fltctric-dl deter
FCONSTRLICTION INFQRIVIAL*N:
Additional work to be performed urLder this permit —check all t1laf apply+:
—mechanical Gas Tank C as Piping -Shutters _. WindDwsMa ws Paned
_ f leetric — PIu mhing _ Sprinklers _ CerkP.ratDr _ Roof P i%..
T4'tal 5Q- 91 of Corrstruction_
Cost of Cowpucvon:
O N E RILESS EE:
Fla me CArol A Thornton
Address_ 8208 Pu�5o Robley BLVD
Cite Fort Pic= State;
Zip Cc4e. 951 Fax-
Ph,un.e Flo_ T72-8R2-&4735
E•M:Di F
5q. Ft. of First f loor-
Utilities; _ Sewer , ! .eptic 6u ildi" Heilght= ?CIft
Fill in Fee sirnphe Ti kle HloldaT *n next page [ if different
from the Owime 110rd ahawa}
CO NTRACTO R:
NamL.; Vichaol TilhWn
Com pa n
Window World
,4ddress_3M Genfef t Wp
City, Ofthdo I $ -FL
Zip Conde: Fax,
Phone No 561 -040
E-talon ya5ix,,6naow,,,IrldWpb 9rnDaiL
stag or County CiCeffie CGC1614205
If value of cony eti*Fk ii 2500 or rnUFC, a RECORDED Notice WF 0xnFFb&k&ffleW is requiFQ4-
H uaEue of HAVC is $t-I} qar more ti RECL}RUE D Notice i)t Commenoernun 15 r"WN&
SUPPLEM ENTAL CC]N.STIRUCTION LI EN LAW INFC)RMATIGN:
L) ESIG N ER} bNG INEER=
: Not
Name:
Address:
City: State,
Zp= Phone
FEE SIMPLE 717L1E HOLD ER -
t AppliCable
Name;
Ad<ireS#:
City:
Zip, Rhone: _
MORTGAGE COMPANY' A Not Appli"ble
Nemic:
,�dclr�ss
Q ty: -State:
Zip- Rhone;
BQrIUINU COMPANY: Npk Applicable
Name:
Address,
City:
zip! Phone-
bWNE Ft f CONTRACTOR AFFIDVfT_ Application is hereby rnadC to obLdYii a permit to do the work and installatian as indicated.
I certify that no work or inswir,91ion haS c4wrimenced prior to the ixsv,we of.3 permit.
5t, Luoe County makes nD repr tatiOn that is Wantirig a permit will wthoeiYe xhe efmit holder to build the 5 OjM structure
which i5 in towliC# with arty applicable Home Dw rwFS ASACOtion rules, bylaws or ang [Mr['tot may restrkt or Prohibit such
structure. KuJiC` Cor'sLdk with your dome Owners Assoti3O*n and review your dCCd for any reSteio# OM which mayr apply.
I r, wnsideration c f the gramirg, of this rkqueged paw rr, I do heroby uKrce thDk I will, in ail respeM perform the work
In accordance with the approwod plait- , InP. Florida Buifdng CodeS 4nd 5t Lade County Amerrdments-
Thy f(311Qwirig building permit applicitionS ;)re� exempt tum undergoing o full oprieurr-er c.X review-- room additions,
accessory stnKture5, gwimming, pbol. fence., walls, sins, SprCrn rooms and xcessory uses to -anul" non,residentul use
WARN IN G TO OWNER, Your failure to Record a Ngtice of Commencement may Vesolt in paging twice for
i marowe rnentS to your property - A Noti oe of Corn miconce ment must be recorde d i n [hp. public records of St -
Lucie County ;and potted on the jobsi to before the fi rst inspection. If you intend to obtai n financing con5u It
with lender or an alterns—b-Pfnre rommenciniz vti+ork or reeo'di V youf Notice of Corn rnenoeme t-
tune aE Own.Lvf L<L"ee/Cgrrtraetor as Agent fcT Ownor sig uture of Ccintri t-cwjLioen5e Holder
15TATE OF FLORIDA STATE OF FLORIDA P&-n
COUNTY OF �61f) COUNTYOF
5worn to (or firmed) and subscribed befor-E rno of
�Plrri,J Peeseriep or Online Ncrtari¢ation
tins ! (,! day cef ,) tip: ` 20M by
Name +yFpeFsr3n rn iking suto.rrherSt-
PCrygnallyl€r5ovm ?e OR produced tdentifmrioft
Type of Identifrcadon
i
Sworn to tar affirmedh and strbSCrihrd W-pre me of
`� Physical Presence or Onlinc N4.3rization
the day of `ijr)r- , z= bw
mdzkw TArtn
Name Of per50n mAk ing StIVLM1 Lnt.
PE!rSvn;iItp KY30wri fj'K Produced Idontikati-on
Tyrpe of Identific MOn
00-cure of t%[=ry Pu icF TW n jSi&atureL0f Nc taryr Pu aiic-114
F� jrkMIs Soymn
uycarrms5m GG $RC735 MyCcrr.-n-1W GG s
WFM�
Cpmmi55ign Na• _ WUL--- Comrmrn Lian N_ _ - _ a
REVI Ew5 FRONT ZON I N-G
COU NTE REVI EW
DATE
nATE
COM PLETI=D
SUPERVISOR I PLANS I V LGE I A I ]UPI I SL• A Lr U H 1'l r I MANG R01.1
REVIEW f�Evll1w f RE'VEEW REVIEW I,EVIEW