HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Windows & Doors
PROPOSED IMPROVEMENT LOCATION:
Address: 7409 S Indian River Drive
Property Tax ID #: 3507-702-0007-000-9 Lot No. 07
Site Plan Name: Pah=i, Joan Block No. 36S
Project Name: Palazzi, Joan
DETAILED DESCRIPTION OF WORK:
Replacement of 32 Windows & 1 SGD Doors
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:$ 38,000 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name.loan Palazzi
Name: Jeffrey Walsh
Address: 7409 S Indian River Drive
Company:hC-&ilIg4of &%7d".i ` 666(s
Com: Fort Pierce State: Lt=
Address: 257 SE Monterey Road
City: Stuart State: FL
Zip Code: 34982 Fax:
Phone No. 772-766-4860
Zip Code: 34994 Fax: 772-324-8578
E-Mail:
Phone No 772-444-7112
Fill in fee simple Title Holder on next page ( if different
E-Mail info@libertyimpactMndows.com
State or County License EGC 1504157
from the Owner listed above)
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 LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:
Address:
City: state:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
BONDING COMPANY:
Name:
Not 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 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH.YOUR LENDER ORAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
as Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA�//
COUNTY OF �(Jr 6f q COUNTY OF
The fo�rjoing instrument was acknowledged before me
this �-I� day of ai e/li 20_U by
Name of person making sta ent.
Personally Known !OR Produced Identification
Type of Identification r 11
The forgoing instrument was acknowledged before me
this _gl_Sf day of an C 20_V by
Name of person makings ement.
Personally Known OR Produced Identification
Tvoe of Identification
j5tgnature of Notary Public- St .46da) CHRISTINA FORnN natGre of Notary Public- state CHRISTINA FOIirf
I.P. Notary Public -State of Flo da j Notary Public - State of
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Commission No.6 �% 7 S y t�` Commission f GG 91
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