HomeMy WebLinkAboutBuilding Permit ApplicationNil
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All APPLICABLE INFO MUST bt`LOMPLETED FOR APPLICATION TO BE AGi tr rED
Date: 12/14/2020 Permit Number ft
O
F -Buildiing 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-FORMindowReplacement
PROPOSED 1MPROVEM'€NT LOCATION:
Residential
Address: 1,2417 S INDIANRIVER DR
Property Tax ID #: 4504-603-0017-000-2 Lot No.5
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove and install now non -impact vinyl windows A �.Aa) C 4 uc &a!,b first
Pawz er ✓ s� C S �1s
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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 V Windows)Doors _ Pond
Electric _ Plumbing _Sprinklers _ Generator _ Roof . Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of;Construction: $ ��� Utilities: \ Sewer Septic Building Height:
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Q1IVNER%LESS'EE: CONTRACTOR:
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Name John Nibbs
address ,' � �•� S j11 GQt/1 RIUPIn' dr'°
Company` HighzTower pnn truction INC.
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ciw> pU1SC�B'L .QPL State: `s"
Zip Fax:'
1 o e;No.t %719 22W n6v
Address.17,5 SE NOFfTH BUTTONWOOD Dr
ty Port S'aint.Lucie" -i �� i State: FL
Zip Code: 34952 Fax:
772 626-8722
Phone No( )-
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Nhtower1 @gmail.com
State or County License CGC-1 51-3256
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.
S.U.PPLEMENTAL.CONSTRUCTI N'LIEN N LAW'LNFORMATIO;
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City:
Zip: Phone Zip:, Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
State:
Not Applicable
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 and posted onthe jobsite before the first inspection. If you intend to obtain financing, consult
With l nnrlar nr an attnrnav kP' fnra rnmmPnr•ina W'nirlr nr rPrnrrlina vnur NntirP of Cnmmenrement_
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ignature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
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this I/'' day of 2020 by
this day of 2020 by
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