HomeMy WebLinkAboutBuilding permit applicationAll 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 I /
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential V
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 379 Baysinger Ave, Fort Pierce FL 34982
Property Tax ID tf: 3403-501-0258-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Alan coe
DETAILED DESCRIPTION OF WORK:
Replacement 8 Windows.4ad49eers ` � , L11- i Ll-
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: S 10,500 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameAlan coe
Name: Steve Lambert
Address:379 Baysinger Ave
Company: Newsouth Window Solutions
WY Fort Pierce State: FL
Address:2526 Okeechobee Blvd.
City: West Palm Beach State:FL
Zip Code: 34982 Fax:
Phone No.772-216-6282
Zip Code: 33409 Fax: 561-4784100
E-Maik
Phone No 561412-9000
RII In fee simple Title Holder on next page (if different
E-Mailwestpalmbeach@newsouthwindow.com
State or County License SCC131151763
I Iromtheownerl)sted above)
If value of opnstructlon Is S2500 or more, a RECORDED Notice of Commencement Is required.
11 value of "VAC is S7,sw or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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 certifythat no work or installation has commenced priorto the issuance of a permit.
St. Lucie County makes no representation that is ranting 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.
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 ezemptfrom 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 LEND OR AN #nORNEY BEFORE RECORDING YOUR NOTN:E OF COMMENCEMENT. -
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of ContrMtor/LiLfense Holder
STATE OF FLOpp���ppzA` n STATE OF FLO A
-
COUNTY OF tT , Y C L COUNTY OF rYV DFDCL',
The fo oing instrument was acknowledged before me The fo oing instrument was acknowledged before me
this May of ,200�by this11dayof ��( ��V 2i� by
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Name of person making statement. Name of pers n making/statement.
Personally Known OR Produced Identificationll� Personally Known ✓ OR Produced Identification
Type of Identff'cation Type of Identification
Produced o t Produced
ign lure ofA6tary lic-Sta ure Notary Public -Slat
yR Notary Pubic Slate of F V1a Nogry Publm Stele of FI r,
Commission No. � ;Q eal¢nnifer omon lsom 'ssion No. , i�dl $ M nifer Oubien
My Commnawn GG t 79 0 My Commomion GG 179 0
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