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
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nature of Own Lessee/Contractor as Agent for Owner
Signature of Contractor License Holder
STATE OF FLORT
STATE OF FLO!
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COUNTY OF Y 1_1r`r�—C I'1
COUNTY OF (�YY 1 ctl
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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
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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
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(SignatureofNotary Public-
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December 10, i021
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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DATE
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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
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Replacement W9ndows • Entry & Patio Doors • Storm lbws • Impact Resistant Windows & Doors
WHOLESALE & RETAIL WINDOW CONTRACT
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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.
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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
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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
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