HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
J,.
• - 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
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 3104 Bent Pine Dr, Ft Pierce, FL 34951
Property Tax ID ti: 1327-701-0090-000-6 Lot No.
Site Plan Name:
Project Name:
Block No,
DETAILED DESCRIPTION OF WORK: I
Aacement I Windows and I Doors
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
Electric
_Gas Tank
Total Sq. Ft of Construction:
Cost of Construction: $ 6655
Plumbing
Gas Piping
Sprinklers
Shutters
_ Generator
Sq. Ft. of First Floor: _
V W i ndows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Do,MOn ��4 Ya'
Name: Steve Lambert
Address:3104 Bent Pine Dr
Company: Newsouth Window Solutions
City. Ft Pierce State: FL
Zip Code: 34951 Fax:
Phone N0.518441-1578
Address:2526 Okeechobee Blvd.
City: ",Pest Palm Beach State FL
Zip Code: 33409 Fax: 5614784100
Phone No 561-712-9000
E-Mail:
Fill In fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailwestpalmbeach@newsouthwindow.com
State or County License SCC131151763
If value of construction is $2500 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 #@
AM,ATION:
DESIGNER/ENGINEER:
Name:
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! nstaIIat! or has commenced prior to the issuance of permit.
St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is In contllcI with any applicable Home Owners Association rules, bylaws or and cove nantsthat 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
"WARNINC TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINC
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
P ED ON THE JOB SITE FORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCINC, CONSULT
W YOUR LENDER OR AN A EY BEFORE RECORDINC YOUR NOTICE OF CO ENCEMENT."
Signatu re of Owner/Lessee/Contra ra Agent Tor Owner
Signature of Contractor/License Holder
STATE OF FLOR1QA
STATE OF FLORI� ;]
COUNTY OF Ct`rn 1'3P1�t' (•�
�
COUNTY OF
The forgoing instrument was acknowledged before me
The for oing instrument was acknowledged before me
this l'^�day of- NfS. rS t�\�2 by
this day of n�GC.f14'�L�Q,[_,20,CL by
Name of person making statement.
Name of pers n making statement. '..
Personally Known __—OR Produced Identification _—_
Personally Known __e-'OR Produced Identification
Type of Identification
Type of Identification
Produced --_DL, —
Produced
(/!
(Sign ture of Notary Publl -
igna ure of otary
TTI
PHILIP G.
Commission No. �'""v'�1���=. star"11) orde NGlillyy Puhi
NDIIry PUDulic ienSuitof Fbn
mmission No. ($bBi'�fer Dubien
:2q
- = commm, sion M GG 16664
My CammiusGn GG 17970
MyCommission Expire
E.arss 0112&2022
u"
REVIEWS
FRONT
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
NewSouth 2526 Okeechobee Blvd. • West Palm Beach, FL 33409-4006.561-712-9000
1401 S. State Road 7 • N. Lauderdale, FL 33068 •954-935-8300
WINDOW sauvas www.NewSouthWindow.com Lic# C C-1330822, SCC-131151763, CRC 1331905
Made in RorilY lar Radde Moses 1 Dare '� 2A2f7
To .a1 ,on 3 �(�� D(V� �i Z'i E-mail �/
310M I,gx k Q\Ine U� HomePhane_ _Cell Phone�_I�1N1w_� (g
City VC & Pi,12.x4p State V_L _ Zip 3�1951 Business(Mt./Mrs.)
Replacement Windows • Entry & Patio Doom -Storm Doors • Impact Resistant Windows & Doors
WHOLESALE & RETAIL WINDOW CONTRACT
Nei Window Solutions agrees to measure manufacture or furnish and service the fdIowing custom made windows for the amount STIPULATED BELOW'.
All Ne oath Vantage Series Windows Include Double Pang Low{glass with A on gasr and 12 point fusion welded corners.
All Vantage wlrldow5 are sealed and Unuum tested fo! penoIX argon retention.
$�yoA_'1_;r.rawl wlme Dr.,]BrmxlnRnor onlYl
., a ❑Tan
Cdvamry vary "mylram ump4_ 1'.nXiall
LOW-EGLASS:
d366GLAS50340GLA5S
OBSCURE GLASS DYES NO TEMPEREDGLASSOYES❑NO
ALL SASHES ARE ARGON FILLED- WITHOUT EXTRA CHARGE
LOCATION: LOCATION:
..Urns,O
sVantage O Vantage9000 Non -Impact ❑ !Vantage 9000Impact ❑ other:
wnxlin
DOUBLE HUNG EDARLA Or
NA65CFEEN s:ANOAPOI OFUA $crcen
SINGUE HUNG O
Wsxmr
P O DOORS
mpaR Crron�mpa(t 0 P2IR GFIEE
�q L/yq Screen Doors Dyes ENo
SINLEHUNARCH
ML
900a SINGLEHurvG:HUF SCREENr
Dr," nor,.impa[I
mmauexia n_'forur.R_ 05/0x6/8 0910 X 6/8
or rlih xmske lmM, R, IGSUI 0510 X 810 ❑ 12/ X 61
06/0 X 7112/0Xam
2 LITE SLIDERE O
1
NOnimPMt Orly I%X. XALeXAEEN STANDARD)
® Nonr IRA, HALF
o EUX
8/0
D 6/0 X B/6 ❑ 1610 X 6/8
06/0%6!8 ❑16/0%6/8
r E911tp 5lI0EP COX or CXO
wmee �.xxng n mwn SLIDER
❑810X SAO ❑ 1fi/0 %8/0
PICTURE WINDOW VANTAGE
PICTURE
D'i Li o Toan
3 PANEL PATIO DOORS
o irrlpaR onon.mpxr
�saxe. Nu.ex . pier-o-rHum N JMe
auvWelcobgm
i LITE SnDEPWITH PICTURE
WINDOW nSCAUMit
nimpan or.Ar"Axl
. 'ra
4 PANEL PATIO DOORS
01mpaR C nAn-Xnpxt
•WNINLAHOPIN
CADMENIIOSUI tw rL
CI•
cods eHzedraranwalArdrMgndd�de
AlM1siee loAX.q In
—ecrv%
DOUBLE 4SEKHi
p gl¢r
�v^
O impo Oran+real:
D HALF - .. ❑ EYEBROW QUARTERROUND❑TRAP ❑ OTHER
//j�❑
ROUND Li ii
_
Ll (DRAW IN SPACE)
GRO STYLES
❑STANDARD ❑CONTOUR
SINGLE HUNG ROUND TOP
A.ma ItArt ar LA wm'D•e
0 Pane D®A�IC
DLeh.oN•--
❑ FISH, -Cry _
um.dle A�.eemAneeaRun LA:neum,L rnarA.ewom Alan.
News LeaA Lk WwLPraarrtesxtldertlum.If Mufe..aeri Po[.ire
naeeiuora Sesper uNGmwate a]OLemtX<EY✓rLe.
®b
e B
❑ :omttpgerher
❑ Para e
.y9vmre
I
❑ mpact ❑ NOmimpaCt
TOTAL NUMBER OF WINDOWS ON THIS ORDER: TOTAL DOORS: "`Subject to NewSouth fNId arginearing and approval.
BUYER'S RIGHT TO CANCEL
(P55
BUYER MAY CANCEL THIS CONTRACT BY DELIVERING WRITTEN NOTICE
Total Price-
$
AO
ly 00
TO THE SELLER AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD
Down payment.
$
BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. BUYER MAY
Delivery/commencement.
$ aa.i
s r 0D
USE THIS CONTRACT AS THAT NOTICE BY WRITING 'I HEREBY CANCEL"
Balance due upon final
$
AT THE BOTTOM AND ADDING BUYER'S NAME AND ADDRESS. THE
window/door install on.
NOTICE MUST BE DELIVERED TO THE SELLER ATTHE ADDRESS SHOWN
ABOVE.
G Bank Financing Cash on Completion
All material is guaranteed to be as specified. All Work is to be completed in a Workmanlike manner according to Standards and practices. This contract is
valid only with proper signatures. NewSouth shall not be held responsible for time and material delays. Strikes, acts of God or any other matters beyond
its control. New5outh is not responsible for any pre-existing structural conditions. No other Work to be done, all other Work to be excluded. Owner
agrees that the equity in this property is security for this C tiff Since this Contract calls for made to order goods, it is rot subject to cancellation
except as stated above. Star[ installation app ximarely weeks from above dale. Verbal promises can cause misunderstand ' gs, therefore
this contract tomtit es the entire understardii M"t1iFTw les, and no other understanding, collates of ar otherwis ding, unless
signed by both p es. NewSouth to nfove and haul an I Job related debris. 'All z d" s et bone.
Thank you for you er
X
's Signature Ne epresentat
Buyer's Signature