HomeMy WebLinkAboutHughitt 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
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Window & Door
PROPOSED IMPROVEMENT LOCATION:
Address: 12410 Harbour Ridge Blvd #6-3 Palm City, FL 34990
Property Tax ID #: 4426-807-0043-000-0
Site Plan Name: Hughitt
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement of Impact 2 Windows & 1 SGD with
FL NOA 18-0627.01 & FL NCA 19-1126.03
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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: _
Cost of Construction: $ 14,353
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Phyllis Hughitt
Name: Jeffrey Walsh
Address: 12410 Harbour Ridge Blvd #6-3
Company:Liberty Impact Windows & Doors Inc.
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No. 772-341-3323
Address: 257 SE Monterey Road
City: Stuart State: FL
Zip Code: 34994 Fax: 772-324-8578
Phone No 772-444-7112
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 LicenseCGC 1528257
it value or construction is $zsoo 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:
FRONT
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
REVIEW
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City:
DATE
City:
Zip: Phone:
Zip: Phone:
COMPLETED
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 covenahts 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 RE THE FIRST INSPECTION. IF YOU IINTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER QRtAlf ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENIMMENT."
as
Signature
Holder
STATE OF FLORIDA ' � ^ STATE OF FLORIDA l ,,
COUNTY OF in COUNTY OF Villa& /
The forgoing instrum nt was acknowledged before me
this day of / p+.S 201 t by
�P 4�k,4 (01,16
person
Personally Known I
Type of Identification
Commission No. %6 9
OR Produced Identification
CHRISTINA FORTIN
Notary Public - State of F
;ssealki mmission N GG 9374
My Comm Expires Dec 5,
30rded throuch mats—I u,,.,..
REVIEWS
FRONT
I ZONING
SUPERVISOR
10 NO.
COUNTER
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
'J•"off
CHRISTINA FORTIN
'i4 f•`
Notary Public State of Florio
My Comm. Expires Dec 5. 2023
Bonded through National Notary Assn.
The f9T Ing instrum was acknowledged acknowledged efore me
this day of 20 alby
Name of person making st ement.
Personally Known �V/ OR Produced Identification
Type of Identification
of Notary Public- State
°o . CHRISTINA FORTIN
10 NO.
;?oi7-- , a ary Public - State of F
'.,' 'Commission p GG 937,
G j �+/ V
e •
''70 "- My Comm. Expires Dec 5,
PLANS II
VEGETATION SEATURTLE MANGROVE
REVIEW I REVIEW I REVIEW REVIEW
Notary Public - State of Florida
Commission k GG 937464
My Comm. Expires Dec 5. 2023
sd throuah Nationai Notary Assn.