HomeMy WebLinkAboutWindow Bldg PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0__� - 3's -o olD Permit Number:
COUNTY
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial
PERMIT TYPE:
V� i R c{ 0 VQ ctlp
Residential >c
Address: 1," ,. DY 1 4-�- y- I - i L
Property Tax ID#: 940a— (010— 0319 — 000 — 3 Lot No.
Site Plan Name: Block No. B3
Project Name:
DETAILED DESCRIPTION OF WORK
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters V Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ - 'T 00
]11tlNER/LESSEE
Name
Address: 000-1 t7i r-1 4e-, F
City: --01'4- P I -L y- L L, State: F t -
Zip Code: 3J-9ga. Fax: r,, -
Phone No. f00 -1-3i V,' 031 b
E -Mail: &O
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Gary Whigham
Company: South Florida Aluminum Products
Address: 4807 S US HIGHWAY 1
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-466-1074
Phone No 772-466-0913
E -Mail sfapbooks@soflalum.com
State or County Lice
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:
UE5IGNER/ENGINEER: -X_ Not Applicable
Name:
Address: b I
City: a State: E.,,
Zip: Phone S I
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
State:
X Not Applicable
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 thepermit 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 LENDER O .-AN ATTORNEY BEFORE RECORDING YOUJ"PWCE QF tOMMENCEMENT."
er/ Les��ontractor as Agent for Owner I Signatu or/License Holder
STATE OF FLORIDA ! STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The for oing instrument was acknowledged before me
thistq`gl-° ay of -2 i-3 203-0 by
4
GARY WHIGHAM
Name of person making statement.
ally Known) X OR Produced Identification
Produced
(Signat iY tary Pu f i Y,TAMs71p"lori d)
• `= Notary Public - State of Florida
Commis``' Commission p GG 938390
.., arra �tgfcnrx f> rire�Jan 24, 76i�
Bonded through National Notary Assn.
The forgoing instrument was acknowledged before me
thisa2 a'r�fay of 20,t�q by
GARY WHIGHAM
Name of person making statement.
Ersonally Know , X OR Produced Identification
Type�entificaticn
Produced
(Signature
I E '�►Ar °t MARY ANN MATONTI
•
Commission +' ` Notary Public - State of
tom: sa � i)
snrissIL k GG 43
yor r My Comm. Expires Jan 24, 2024
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