HomeMy WebLinkAboutBuchanan AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
9�o LN�C�DL�
0
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:Christine J Buchanan
PROPOSED IMPROVEMENT LOCATION:
Address: ouuy cassia ur, Tort Tierce, I-L 34982
Property Tax ID #: 3402-610-0452-000-9
Site Plan Name:
Project Name: Buchanan
DETAILED DESCRIPTION OF WORK:
Replacement of Windows and Door with Impact FL NOA 23358.2 FL NOA 29078.2
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential x
Lot No.36S
Block No. 40E
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: $ 18,363.00 Utilities: -Sewer —Septic
Building Height:
NER/LESSEE:
CONTRACTOR:
e Christine Buchanan
ffAdddress:6009
Name: Jeffrey Walsh
Cassia Dr
Company: Liberty Impact Windows and Doors
City: Fort Pierce FL State: _
Zip Code: 34982
Phone No.203-645-4633 Fax:
Address:257 SE Monterey Road East
FL
City: Stuart State: Zip Code: 34994 Fax:
Phone No772-444-7112
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is 2snn �r �,,,ro � orrnonrr, ._.:__ _r ,._
E-Mail
State or County License CGC 1528257
__ _
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: FL
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County a d.posted on the jobsite before the first inspection. If you intend to obtain financing, consult
'a,ttornev
with I nde before commencin work or recordin our N tic Hof Commencement.
Signat 011OW61essee/Contractor as Agent for Owner
Signature' Conti r/Lickse Holder
STATE OF FLORIDA
COUNTY OF a7e&/ h-e)
STATE OF FLORIDA
COUNTY OF Mec
Sworn to (or affirmed) and subscribed before me of
S�vgrn to (or affirmed) and subscribed before me of
Physical Pre ence or Online Notarization
thi day of i�i'11lGlttl� 202� by
.��CC Physical Prefence or Online Itarization
this ° day of
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Name of person making statement.
Name of person making s m tateent.
Personally Known I/ OR Produced Identification
Personally Known V/OR Produced Identification
Type of Identification
Type of Identification
Produce
Produ
(Signat otary Public- State
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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