HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
LV3' Y—� g pp 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: ' W; ir) d Mo of p (a C <-ry, 2,�t
PROPOSED IMPROVEMENT LOCATION:
Address: 333 Verada Ave Port St Lucie, FL 34983
Property Tax ID #: 3419 530 0039 000 5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement of Windows Ln cfii -74'y1FJu L'f'
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 39
Block No. 3_
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 TT _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 10,600 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert MacKay
Name:Jeffrey Walsh
Address: 333 Verada Ave
Company: Liberty Impact Windows
City: Port St Lucie, FL State: _
Zip Code:34983 Fax:
Phone No.408-313-7542
Address:257 SE Monterey Rd East
City: Stuart State -FL
Zip Code: 34994 Fax: 772-324-8578
Phone N0772-444-7112
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail info@libertyimpactwindows.com
State or County License CGC 1528527
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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
x Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
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 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 T"BTAIN FINANCING, CONSULT
WITH YOUR LENDER OR" -'ATTORNEY BEFORE RECORDING YOUR NOTICE OFfOMMENCEMENT."
S' ure of wner/ Lessee/Contractor as Agent for Owner
Signature qContractor/License Holder
STATE OF FLORIDA
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STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrurrTnl was acknowledged before me
this-34—dayof:1AL,,.A 20-al; by
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ement.
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Type of Identification
Type of Identification
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Produced
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