HomeMy WebLinkAboutHolfelder Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
ST. M. COU N-T"Y
F l O R 1
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:WIndOW Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 8949 Champions Way Port St Lucie FL 34986
Property Tax ID #: 3334 501 0038 000 8
Site Plan Name: Holfelder
Project Name: Holfelder
DETAILED DESCRIPTION OF WORK:
Replacement of Windows with
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
Residential X
Lot No. 24
Block No. A
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: _
Cost of Construction: $ 7,700
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jackie Holfelder
Name: Jeffrey Walsh
Address: 8949 Champions Way
Company: Liberty Impact Windows
City: Port St Lucie, FL State: _
Zip Code: 34986 Fax:
Phone No.772-579-3061
Address:257 SE Monterey Rd
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 irdo r@Iibertyimpactwindows.com
State or County License CGC 1528527
ITWL . or lOrnmencemeni Is requlrea.
If value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: _( Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
BONDING COMPANY: XNot 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 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 PrIff, BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOURLEIIIDERORAFAATTORNEY BEFORE RECORDING YOUR OF MENCEMENT•-
IF I
Si a llmneUlessee/ tractor as Agent for Owner
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Signat Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
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COUNTY OF -AN ➢L
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this day of ZJLV 20 by
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Personally Known OR Produced Identification
Type of Identification
Type of Identification
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