HomeMy WebLinkAboutPermit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3�j Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
23W Virginia Avenue, Fort Pierce FL. 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Address: 13 Lake Vista Trl #106, Port St Lucie, FL 34952
Property Tax ID #:3422-500-0174-000-0 Lot No.
Site Plan Name:
Project Name: Robert or Margaret Foley
Iastall4 Impact windows
New Electrical Meter Second Electrical Meter
e.
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: $ 7900.00 Utilities: Sewer _Septic Building Height: _ l i e
Name Robert or Margaret Fole
Address! 13 Lake Vista Trl #106
City: Port St Lucie State: FL
Zip Code: 34592 Fax:
Phone No.774-810-0230
E-mail: margefoleYC:yahoo.com
Fib in fee simple Title Holder on next page (if different
from the Owner listed above)
RECORDED Notice
Name: Ronald Heath
Company: Max Guard Hurricane Windows LLC
Address:2253 Vista Pkwy, Ste 12
City: West Palm Beach State:FL
Zip Code:33411 Fax:_
Phone No 561-276-7100
E-Mai1Rbeath(dmaxl uardhurricane.com
State or Couray License SCC131151738
Is
If value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement is required.
x
In
DESIGNER
ENGINEER:
_ NotApplicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: __
State:
City: State:
Zip:
Phone
Zip: Phone:
FEE SIMPLE TITLE BOLDER:
_Nat 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 ape, mitwill authorize the permitholder tobuild the subject structure
whicn 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 concurre ncy 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 Records 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 attornev before commencine work or recordine your Notice of CammencemPnt.
J4611-
sigpmure orwner/ Lessee/Contractor aoent for Owner
signature ontractor license Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF SA} 4611.
COUNTY OF sk.Lvwt
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
_Physical Presence or OntineNotartration
Physical Presence ac Online Notarization
this day off 2020 by
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Personally Known Produced identification
Type of Identification
Type of Identification
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s: JESSIKA DIAZ
""'w., JESSIKA DIAZ
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Nov 16. 2o2a
Commission No. S • t � 4
commission No, _ bar 1-8. 2024
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