HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit NLmber:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Wrginia Avenue, Fort Pierce FL 349192 t✓
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 7412 Laurels PI, Port Sl Lucie, FL 34986
Property Tax ID 1!: 3322-501-0018-000-5 Lot No.
Site Plan Name: Block No,
Project Name: Grace & Lyle Kopp
DETAILED DESCRIPTION OF WORK:
Replacement,M'*indows and 3 Doors
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that appy:
_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: $ 75,000 Utilities: —Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameGrace & Lyle Kopp
Name: Steve Lambert
Address:7412 Laurels PI
Company: Newsouth Window Solutions
City: Port St Lucie Stam: FL
Zip Code: 34986 Fax:
Phone No. 563-343-0505
Address:2526 Okeechobee Blvd.
City: West Palm Beach State:FL
Zip Code: 33409 Fax: 5614784100
Phone No 561-712-9000
E -Mail:
RII 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.
HVAC Is $7,500 or more, a RECORDED Notice of Commencement Is required.
E
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Signature of Contractor/License Holder
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
The forgoing instrument was acknowledged before me
Address:
this �l day of 20 Lo 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:
e�^'-ice
S�ce�F1W1da
City:
u'
Zip: Phone:
G
T(Sfgn re of Notary o ry!3
Public
Zip: Phone:
a: MV Commission
:° December to,
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certifythat no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countmakes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in co 1 ict with any applicable Home Owners Association rules, bylaws or aWcovenantsthat 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 ofthis 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 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE O NCEMENT."
Signature ofQ ner/ lessee/Cont o as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
?0AIl
STATE OF FLORIDA
COUNTY OF? Be'x(t h
COUNTYOF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of MA. , 20.0 by
this �l day of 20 Lo by
Name of person making statement.
Name of person making statement.
11_�
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
p'"
Type of Identification
Produ d
Produced
e�^'-ice
S�ce�F1W1da
u'
(Signature of Notary Public -SSI
PHILIP G. PER
G
T(Sfgn re of Notary o ry!3
Public
,��.=�L St to of Fiorida-Notar My Pere pt1002
Commission No. �mmission a GG 1 �m ion No. r_
a: MV Commission
:° December to,
E p. e,f•
2 21
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 217119