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HomeMy WebLinkAboutProduct approvals, Blastland, J PSL AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 06/30/2020 Permit Number: C� Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: NON -IMPACT WINDOWS PROPOSED IMPROVEMENT LOCATION: Address: 9405 Briarcliff Trace, Port St. Lucie, FL 34986 Property Tax ID #: 3322-801-0017-000-9 Lot No.12 Site Plan Name: Briarcliff at PGA Village Block No. Project Name: Blastland-61020 DETAILED])FSCRIPTION OF WORK: Replace 4 windows, size for size. New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: . Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank — Gas Piping _ Shutters _ Windows/Doors _ Pond Electric —Plumbing Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 3,967 Utilities: —Sewer _Septic Building Height: 20ft O1IN ER/LESSEE CONTRACT©R Name Keith & Jennifer Blastland Name; Michael Tillman Address:9405 Briarcliff Trace Company:Window World of Central FL City: Port St, Lucie State: Zip Code: 34986 Fax: Phone No.717-419-7624 E-Mail: Address:3882 Center Loop City: Orlando State: FL Zip Code: 32808 Fax: Phone No561-684-2040 E-Mail yasix.windowworldwpb@gmail.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County LicenseCGC1514205 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL.CONSTRUCTIO,N LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable Name: MORTGAGE COMPANY: x Not Applicable Name: Address: Address: City: State: Zip: Phone. City. State: Zip: Phone FEE SIMPLE TITLE HOLDER: x Not Applicable Name:_ BONDING COMPANY: x Not Applicable Name: 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Noti,ce_o# Commencement. Signature ner Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDCj. COUNTY OF (�� STATE OF FLORIDA �^ COUNTY Pajt`" beac 1��1 OF ) Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization Physical Presence or Online Notarization this �a,'� day of jij,hj 2020 by , this I '=,I day of A_ 2020 by ,�4�, :,- Q/f s _,4-14 4p WV1 Iad AI I nao Name of person making statement. Name of person making statement. Personally Known OR Produced Identification x Personally Known X OR Produced Identification Type of Identification Type of Identification Produced D6ver's License Produced U�. r ---- (Sig ature ot Notary Public ICK )public State of Honda (Signa re of otary ub S of FII ��{ `` N@60illh,Stte of Flda Yasia Bo en GG 98a 23S No. C9' S��A5iio/2Uz4 YA-A./M ��?5{� $ S AP Yasix BowenCommission ommission o.04 r t Mr Co �q nGG98a235 * Exprre�flT202a REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.