HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �❑ Permit Number:
91ro
O
° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial x Residential
2300 Virginia Avenue,Fort Pierce FL 34981
Phone: (772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: � QCeI'r1Q%l'F (Sf Wlrl�Lkus r 1bc5(
PROPOSED IMPROVEMENT LOCATION:
Address: 2546 NW Seagrass Or# 7B, Palm City, FL 34990
Property Tax ID#: 4425 601-0023-000-9 Lot No.37S
Site Plan Name: _�� •�} •-- -- - - •• • - - -- Block No. 41E
IProject Name: (°��
DETAILED DESCRIPTION OF WORK: C
Replacement of Windows and Doors with Impact FL iwt+ g o_ b4 ol..o y ttr
FL N04 a o -o4 aq. o 1
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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: $ 14,870.00 Utilities: -Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Marie Terry Name:Jeffrey Walsh
Address:2546 Seagress Dr Company:Liberty Impact Windows and Doors
City: Palm City FL State: Address:257 SE Monterey Road East
Zip Code: 34990 Fax: City: Stuart State:FL
Phone No. 2la -33b" 16 9(c Zip Code: 34994 Fax:
E-Mail: Phone No772-444-7112
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License CGC 1528257
If 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.
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 TITLE HOLDER: _Not Applicable BONDING COMPANY: 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 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 IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE PEFQRE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER A ATT RNEY BEFORE RECORDING YOUR NOTICE OF COMM "
Signature of V Wrier/Lessee/Contractor as Agent for Owner Signature of C tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA Mau-
The
COUNTY OF M(At kA COUNTY OF
for oing instru nt was acknowledged before me The forgoing instrument was acknowledged before me
this day of yC cg,�,.20-" by this-IS'—day of JXCCM1 y 20,E by
Name of person making statement. Name of person making st ement.
Personally Known_OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced P u d
0 A
a ure of Nota ublic o nature of Notary Public St
s CHRISTINA FOR TIN �.aT`_oa CHRISTINA FORTIN
�1 4 ^` Notary Public-State of Flo da 1' a �` NOW Public-State of Flori a
Commission No. r 4_JSeal ommission k GG 93746 C mission No.6G bl }y' ! �$Q�Cssion p GO 937464
°or n' My Comm.Expires Dec 5,2 23 ?'o n°. my Comm.Expires Dec 5, 20 23
301r.=c thruugh National Nota A sn, Borceo throe h National NotarY As n.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER. REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19