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HomeMy WebLinkAboutCichocki permit packAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date • Planning and Development Services Building and Lode Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34992 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Permit Number Building Permit Application Commercial Residential " Address: 5009 Paleo Pines Circle, Ft Pierce, FL 34951 Property Tax ID p: 1312-801-0140-000-0 Lot No Site Plan Name: Block No. Project Name: Tom Cichocki & Regina Dietrich DETAILED DESCRIPTION OF WORK: Replacement 3 Windows and I Doors (Z M?aLti i ) cogs • (o, I So& Ll • 161 1 SZ 10• LO CONSTRUCTION INFORMATION: Additional work to 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: $ 9000 Generator Sq. Ft. of First Floor: _ `� Windows/Doors Roof Pitch Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameTom Cichocki & Regina Dietrich Name: Steve Lambert Address:5009 Paleo Pines Circle Company: Newsouth Window Solutions City. Ft Pierce State: FL Zip Code: 34951 Fax: Phone No.772-203-8957 Address:2526 Okeechobee Blvd. City: West Palm Beach State:FL Zip Code: 33409 Fax: 561-478-4100 Phone No 561-712-9000 E-Mail: FlII In fee simple Title Holder on next page (if different from the Owner listed above) E-Mailwestpalmbeach@newsouthwindow.com State or County License SCCI31151763 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: Not Applicable Name: MORTGAGE COMPANY: _Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone, FEE SIMPLE TITLEHOLDER: Not Applicable Name: BONDING COMPANY: _Not Applicable Na me: 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 rtranting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home OwRers 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. Inconsideration 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 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 COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROYEMENTS TO Y9W PROPERTY. A NOTRE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON Iff JOB E FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH Y NIER 71iBEFORE RECORDING YOUR NOTICE OF GOMMENCENEPfF.0 I I �jt nature of Own Lessee/Contractor as Agent for Owner Signature of Contractor License Holder STATE OF FLORT STATE OF FLO! �� ^ COUNTY OF Y 1_1r`r�—C I'1 COUNTY OF (�YY 1 ctl ��� The oing instrument was acknowled88ee�.4�efore me this day of 20a�by The forgoing instrument was acknowledged efore me this_adayof C.L 1�,2 by it= , S e cr�l�,kn_r Name of person making statement. Name of perso making statement. Personally Known OR Produced Identification Personally Known _IZOR Produced Identification Type of Identification Type of Identification Produced_ �L Produced "-- (SignatureofNotary Public- ILIP G. PEROT atu ofNota Public- Stat yt,,,, •^'" $�pto ppf FlorfAa•No1Bry P Commission No. `�, = s GG 188 NmrV Pubic Stets ofF 4fo No. 1�s tfer Dubten 0 n far`').1eExpres0V2(V2022 IQSPAWssion :3 0,•` My Commission E02 mission s Commission GG n December 10, i021 01 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.217119 L Y N O a o m a o O 3Co 7 7 m v �W x x x x rj Pg W A n Tom Cichocki & Regina Dietrich New o uth a m 5009 Paleo Pines Circle WINDOW SOLUTIONS o a Ft Pierce, FL 34951 2:2f OreecroVe bva Wei'OamBeacnR •:I)1 ^9W0•CNC I]JI833 13o I aged 'apo38u!pl!u8 opmo& (Llol)uou.w 4!9 '8u!Ppol3pun r!umod aoj - sPO07 PU M 'OF aaidoya '01-L 9JSV :41!m aauopm000 u! pamdmd Z'6£- 0'9£ L 5Z9'08 SL£4'L_£ Jul 4 L'6£- 9,9£ L o5'84 is Jul £ 1'6£- 6'5£ L 19 IS Jul Z 1'6£- 6'St L 19 l5 Jul I (jsd) amssaid anus2aty xeW (Isd) amssaid ang!sod xeW (g) uous621g aa!620 (ul) IORH aa!Aad (ul) IPPA aalnaa auoZ uog830l iogtunK 2uluadp suouglnalva ainssaid u ,saQ H :klosalej IsIH T 51 :JgslaH PO-d U93 W 'g 5Z :uolsuawlQ sulplm8 wnwlulW I564£ 1d `aaiald Jd :,V02a1e0 amsodxg apnJ saved oal8d 6005 :sswppy 'HdIN OL I :auoZ pulM gol.43!G eulsaa 7 113oga10 wo,l, :iaumo uol;euuo3uI ulPimg uo►;tuuojul a of l ZZ90ES IOYO.0006-ZIL-I9S • 60►EE IA NOD99 wlod JAM 'p^l9 8"040GGIO 969Z SNolimoS MOONIM qlnoSmaN NewSouth 2526 Okeechobee Blvd. - West Palm Beach, FL 33409-4DO6. 561-712-9DOO 1401 S. State Road 7 • N. Lauderdale, FL 33068. 954-935-8300 WINDOW Ltsrtors wWW.NewSouthWfindow.com Lic#CRC-1330822, SCC-131151763, CRC 1331905 11Ne IR Rail IN fl/NIN 6rar Data To 1IMQ 'C�Gat PC,& � ,/rill ifA Ui��'/iG�E.d �u� 6ef `'� Mome Phone7]7•a11S„��S%%Cell Pho e City rlt i S._,e— hip BUNneu(Mrlm's.) Replacement W9ndows • Entry & Patio Doors • Storm lbws • Impact Resistant Windows & Doors WHOLESALE & RETAIL WINDOW CONTRACT cnlinMna apnea rn moasu, mwufxturoafumkh and teandor thefdlowino custom made windows for the amount STIPULATED BELOW: All NewSouth Vantage Series Windows include Double Pane, Low-E gins with Argon gas and 12 point fuslon welled comers All Vantage windows are seabed and Vxwm tested w riora an rtentbn. EyMy®qry M1Ankrrinad.l M ❑Tor, DemrskaLntrwitl w'w OT„ Coin w q hemvrcre Ixlaey LOW-EGILASS X366GLASS ❑MGLASS OBSCURE GLASS O YES 7NO TEMPEREDGLASS DYES LJl10 I ALL SASHES ARE ON FILLED- WITHOUT EXTRA CHARGE LOCATION: LOCATION: �\ aM]rr �m ;".�• D t/antage ❑ �%antage90Do NWAmpad vantage 9000 ntpad ❑other: waNrm DIXIBLE HUNG E-VANTAGE D IHaIi XRFfN5TAN0MDIOWI15uwn NNGLEHUNGARCHOR 0 9�rtmA PATIO DOORS D,W.d onun-a ' ❑ Open Prase Grids SvxtrOma ❑Ws ❑No v Xx SlNGLEHUNGa1A1FX.1. angst D,nn..prn xmnalw w.aam�ai%reiRdren ❑S/Oxwa ❑9/OX6/8 NWhwnklr blYMPrnanlA ❑Staaam 11910 X wo 06/0 X6/a ❑1Loxelo SLIDERly(U.VANTAGE ❑ NmwnOattnM'Iv.wir3cREu nuauml O6/0%NO ❑ILO %8/0 EDUIF owawam ❑$/)%fife 016M XG/8 1 LITE9011OWDER OOX- OXO 08/0%B/O ❑I"Xa/O PPMae ucxmP:+ OxwNt onar.vpw PICMIEV NDMVANTAGE 1 F SCRK141 xman O nm,mP.n 3 PANEL PATIO DOORS D kp.n Dnmanpact Ngmr RVWTH1 urE UloERwrtH vicTLRR WlnESUD �raVw,awaaa.+wdiacw galoaaaaln DImP.tawnmM.n [Els w-m—wawA9vAon ♦PANEL PATO ODORS Olmpxt O norrNrrpact �aawl a^^i^Mq"aaW"`Ngae RWNWCb NONIR GYMEMIDSIII LInwWE —aa rtlax4 OWBLECASEWNT 0tax- �+'r pan mWrMan n^a,�D OHALP O EYEBROW aO ( \ � ROUND L�J pIMTER-RWND OTRAP 1710miR (OAWINSPA00 GRO 6TTLEs ❑STANDARD ❑CONTOUR SOME NUNS ROUNDTOP wnawronnma PrwmnwRO wllw Cl edmw ❑ ft.I1'1�P{�a1rmIII1 DLett -OK ❑RNM. vrexmeuaar+4na+Pa+,waaraW�RE�aa.o-mwNme rwaSomNLatl Sale Wra Aiwa, agMNan aBaue¢m ioa4e bO7-- nMIWmLI%a lbkrce. pgmwul aeAN ® ®Praxk e 8 �L ❑ sepNNe 1414W.. ❑ I CI Non -Impact TOTAL NUMBER OF WINDOWS ON THIS ORDER: TOTAL DOORS: ••Subject to itletailerath AaM angleaerhlg and ap nni BUYER'S RIGHT TO CANCEL Total price, $ Q U BUYER MAY CANCELTHIS CONTRACT BY DELIVERING WRITTEN NOTICE / Prou TO THE SELLER AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD Down Payment. $ BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, BUYER MAY Delivery/commencement. $ / G USE THIS CONTRACT AS THAT NOTICE BY WRITING al HEREBY CANCEL' Balance due upon final $ T AT THE BOTTOM AND ADDING BUYER'S NAME AND ADDRESS. THE window/door Installation. �— NOTICE MUST BE DELIVERED TO THE SELLER ATTHE ADDRESS SHOWN ❑ Bank Financing yl�ash on Completion ABOVE. / - All material is guaranteed to be x specified. All w"k is to be Completed in a workmanlike manner according to sunEards and Precool This contract is Valid only with proper signatures. NewSouth shall not be held responsible for time and material delays, strikes, acts of God or any other nutters beyond its control. NewSouth is not responsible for am/ preexisting stwctural conditions No other work W be done, all other work to be excluded. Owner agrees that the equity in this property Is security for this Jc-o�n� ct. Anne this contract calls for made to order goods it Is not subject to cancellation except as stated above. Start instaMalion approzlmatey ffi weeks from above date. Verbal promises an cause misunderstandings, therefore this Contact constitutes the entire understanding of the pardon, and no odor undersund collateral, verbal or omenNse. star be blndirg, unless s both ponies ewSlxrth to remove and haul away all Job related debris • lei and dhraunu allotted. AN changes induced above. Thor uforyow order �' % K r to NewSouth tenon x x yer's Sig ture NewSouth Manufacturing Authorized Officer