HomeMy WebLinkAboutBAESSELL APPLICATION SLCAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
l: i? fj Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Replacement windows and door
PROPOSED IMPROVEMENT LOCATION:
Address: 4201 Redwood Dr. Fort Pierce FL.
Property Tax ID #: 1313-502-0108-000-2 Lot No.531
Site Plan Name: Block No.
Project Name: Baessell
DETAILED DESCRIPTION OF WORK:
Remove and dispose of existing windows and door, Furnish and install impact replacements
at the attached locations l I n
2Z
New Electrical Meter J 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: $ '� 1 i Utilities: _ Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameSusan G Basseli Name:Joseph Labadie
Address:4201 Redwood Dr. Company: Central Window
City:
Fort Pierce State: _ Address:4388 US hwy 1
Zip Code: 34951 Fax: City: Vero Beach State: FL
Phone No.
772-801-5386 Zip Code: 32967 Fax: 772-562-8309
E-Mail: Baessell@bellsouth.net Phone No772-562-8161
Fill in fee simple Title Holder on next page ( if different E-Mail Jae@centralwindow.com
from the Owner listed above]
State or County LicenseSCC131151288
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: J 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 cio the worK and mstanauun db 1f1U1LdLCU.
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'requestedpermit, 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, s`wimrrming 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.
Si nature of Owner/ Lessee/Contractor as Agent for Owner Signature .of Co actor/License Holder
STATE OF FLORIDA } STATE OF FLORIDA I,
COUNTY OF 16] 0.11 IC!' COUNTY OF ! 1'1 Ql rare? )Ql ✓"e_t—
Swot to (or affirmed) and subscribed before me of Swor to (or affirmed) and subscribed before me of
✓ P ysical Presence or Online Notarization Physical Pr ese a or Online Notarization
this day o- AAQ 2024 by this day of r' 20261 by
Name of person making statement. Name of person Fnaking statement.
Personally Known OR Produced Identification i� Personally Known Y OR Produced Identification
Type of Identification� Type of Identification
Produc Produ ed
(Signature of Notary P blic- State of F1flda) (Signature of Notar Public- State of Ffofida )
f� F1r DOROTHYCLEGGITT A [c DOROTHYCLCGGCTT
Commission No. � t 4 r (S&I.rriWon 9 GG 2: 926 Commission No. � � (C�rd��sian it GG 256926
Erpiaos Soptembar 19, 2022 4m ; Exp!kis Sfq)Wmbor 19, 2022
[ -u@audadThruHudvt NaLury SaMgt ... ,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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