HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `! 2C Permit Number:
S`n LULLiL
V L > Ii L' A _ ___,_: Building Permit Application /
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
LPROPOSED
MIT APPLICATION FOR: INSTALLING IMPACT CERTIFIED WINDOWS/DO
7 IMPROVEMENT LOCATION:
Address: f r14 '5� i �L
Property Tax ID#: lq2 _5c) T 3 2— _GOO — 5 Lot No.
Site Plan Name: QGj ' A�/ Block No.
Project Name:
[KTAIILED DESCRIPTION OF WORK:
Furnish and install impact certified doors and windows at the attached locations
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 ;, iWindows/Doors Pond
Electric _Plumbing _Sprinklers ,Generator _Roof Pitch
Total Sq. Ft of Construction: ,'ff Sq. Ft. of First Floor:
Cost of Construction: ct - Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: �TName:Joseph
RACTOR:
Name , ,�' Labadie
ny:Gentral Window
Address:
'� >.�sC �_�� �, —,a�D Stater Address:
IJ.S. Highway 1
City:��fLlTG? ,„--___
Zip Code: Fax: City: Vero Beach State:FL
Phone No.
— j Zip Code: 32967 Fax: 772-562-8309
&—S'A/ . G'Eff Phone No772-562-8161
E-Mail: -AV ��!(G C
oe@centralwind
Fill in fee simple Title Holder on next page (if different E-Mail JCC1311
from the Owner listed above)
State or County License
5C131151288
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: _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.
1 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Coutr Y or as Agent for Owner Signature C�oritrac icense Holder
STATE OF FLORIDA STATE OF FLORII�A r ,
COUNTY OF fn J4a' A ✓ems COUNTY OF !rl cis 00 �e) Vey
Swoyn to(or affirmed)and subscribed before me of Swg to(or affirmed)and subscribed before me of
✓✓ Physical Presence or Online Notarization ✓✓ Physical Presence or Online Notarization
his
t ap day ofrnt'Y 2020 by this day of 2020 by
j a sew �
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification `'/ Personally Known OR Produced Identification
Type of Identifi ation Type of Identification
Produced L L Produced
(Signature of Notary Pu ic-State of FI i a) (Signature of Notarq Public-State o Florida
<� DOROTHY C LEGGE 41a�{, sae, �Ol nThiY G LEGGET7
Commission No. t�� * ,,Peal)Comrnisslen#GG256ommissian No. ' Cammissia�ty25G926
Expires Septomber l% 022 N Q� Expires Septeaiber 19,2022
dThru6ud ntNote SoVICa9 y Q Bm&dTluu Moat Notary son'kaa
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20