HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION
Date: 11/9/2020
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4.
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v; Building Per
Planning and Development Services
Building and Code Regulation Division Commercia
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FORMindows
PROPOSED IMPROVEMENT LOCATION:
Address: 1212 NW Winters Creek Road
Property Tax ID #: 4423-701-0011-000-3 Harbour Ridge & Pin(
Site Plan Name: Jonathan & Patrice Page
Project Name: Page Windows
DETAILED DESCRIPTION OF WORK:
Replacing 23 Windows with Impact Rated Products
Casement CA -5540 - Picture Window PW -5540 NOA #20-0401.
Architectural AR -5520 NOA #19-1126.10 - Mull Bar NOA #17-0
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all
_Mechanical _ Gas Tank —Gas Piping _
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: Sq,
Cost of Construction: $ 32,510.00 Utilities:
^OWNER/LESSEE: - C{
NameJonathan Page N.
Address: 1212 NW Winters Creek Road Cc
City: Palm City, FL State: Ac
Zip Code: 34990 Fax: Ci
Phone No. 773-336-0711 Zi
E -Mail: Pp
Fill in fee simple Title Holder on next page ( if different E-
fromthe Owner listed above) St
i
If value of construction is 2500 or more, a RECORDED Notice of Comr
If value of HAVC is $7,500 or more, a RECORDED Notice of Commena
SUPPLEMENTAL CONSTRUCTION LIEN-0AW INFORMATION:
DESIGNER/ENGINEER: N ppIicabie
Name:
Address:
City: State:
Zip: Phu
FEE SIMPLE TITL OLDER: _ Not Applicable
Name:
Address: f
r
MORTGAGE COMPANY
Name:
Address:
City:
Zip: Ph e:
of Applicable
BONDING CO> ANY: Not Applicable
Name:
Addre:
City: I City:
Zip: Phone: Z" 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. LucieCounty 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Co aVM
osted on the jobsite before the first inspectio . If you intend.toobtain financing, consult
with I rttor before comma in work or recur 'ur.NrStice yom rrtament.
E
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFMartn
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 9TH day of NOVEMBER , 2020 by
r 4
ame of person making statement,
Personally Known x OR Produced Identification
Type of Identification
Pro uced
L-3L�_
(Signature 01
Notary Public- State of Florida I
,, 9►'� ynn Allen
Commission No. Coft*GG366562
E*m: Sept. 30, 2023
REVIEWS FRONT ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
re of Contractor/License Holder
STATE OF FLORIDA
COUNTY OFMartn
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 9TH day of NOVEMBER '2020 by
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of NJtaWr,�,bII `t- State of Florida I
s Y1111# Allen
mm
Commission No.0. G$5S2
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4 _: Sehpt 30, 2023
SUPERVISORPLANS VEGETATION I SEATURTLE MANtROVE
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