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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TQ BE ACCEPTED
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Date:$ad a,� Permit Number:
Mr.ELMUCHL AUG 2 ® (2020
O f
Building Permit Application ST. Lucie County, Permitting
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
23W Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:WINDOW & DOOR REPLACEMENT
PROP.,,OS ,D IMPROVEMENT LOCATION:1654 WBUITONSUSKCIRCLE,�PALM CITY, K 34990
Address: 1654 NW BUTTONBUSH CIRCLE,PALM CITY,FL 34990,HARBOUR RIDGE-PLAT 19-TALLOWOODVILLAGE LOT 5
Property Tax I D f#- 4426-840-0006-000-2 Lot No.5
Site Plan Name: WOOD RESIDENCE Block.00-
Project Name: WOOD WINDOW&DOOR REPLACEMENT PROJECT
DETAILED-DESCRIPTION,4F WORK:
REPLACE EXISTING WINDOWS AND DOORS WITH NEW IMPACT WINDOWS AND DOORS-LIKE FOR LIKE
New Electrical Meter Second Electrical Meter
C6145TRUCTI'ON 1 N FQRMATLON:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping Shutters !Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 58,096.00 Utilities: _Sewer _Septic Building Height: 1 STORY
OWNER�I:E5EE:' CONTRACTOR:
Name ALEXANDER 8 BARBARA WOOD Name:WILLIAM B IANIERO
Address:1654 NW BUTTONBUSH CIRCLE Company:WM B IANIERO CONSTRUCTION, LLC
City: PALM CITY State:_ Address:2740 SW MARTIN DOWNS BLVD.
Zip Code: 34990 Fax: City: PALM CITY State:FL
Phone No.401-523-9687 Zip Code: 34990 Fax:
E-Mail: �r�d►-�I�s�le� (a_y mart -co W\ Phone No 772-223-3470
Fill in fee simple Title Holder on next page(If different E-Mail WMBEYE@GMAIL.COM
from the Owner listed above) State or County License CBC1252137
ff 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.
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SUPP�LENiENTAI{iCONSTRIJ 5 � ON' ='IEN LAW IN T.
DESIGNERIENGINEER: X_Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name: _
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable 6ONDING COMPANY: X 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 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 at 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 Commence ay result in paying twice for
improvements to your property.A Notice of Commencement ust a recorded in the public records of St.
Lucie County and posted on the jobsite before the first ins ion. you in aln nancing,consult
with lender or an attorneybefore commencin work or r din o otice of ommencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Si natu'e of Con or a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFLucie- COUNTY OF
Sw rn to(or affirmed)and subscribed before me of Swop(or affirmed)and subscribed before me of
Physical Presence or Online Notarization ✓ P,hu al Presence or Online Notarization
this cA day of J(��.. .2020 by ' this /U day ofd rLt .2020 by
�le artil.�c� 1�10�� _ /�1 : L-1��• .�.�r �c� c� "
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
P A Produced. tate of Florida
ren a J Koeney
y9,� o� My Commission GG 088390
`o,t,OF Expires 07/22/2021
l of ry Public- to of re of Notary Pub -
Y A '••,11 A ,
Alia SHIRLEY LITTLE IELD
s/�'�y+ '; Notary Public State of londa.
Commiss o. Cgmmission+t�iG mi ion No. (Seal)
M Comm.Expires J 13.2023
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