HomeMy WebLinkAboutWindow & Sliding Glass Door ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/17/2021 Permit Number:
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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:Window/Door Re lacement
PROPOSED IMPROVEMENT LOCATION: _
Address: 4914 Hickory Drive
Property Tax ID #: 3402-608-0202-000-5 Lot No. 7
Site Plan Name: Glenton Block No. 46
Project Name: Glenton Improvements
DETAILED DESCRIPTION OF WORK:
Replace 10 existing windows and 1 existinq sliding glass door with
new impact rated windows and sliding lass door
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 _ Windows/Doors Pond
Electric _ Plumbing _Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: _ Sq. Ft. of First Floor:
Cost of Construction: $ 13000 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Michael Glenton Jean Glenton Name: Devin Wheaton
Address:4914 Hickory Drive Company:Treasure Coast General Col
City: Ft. Pierce State: Address:1720 Copenhaver Road
Zip Code: 34982 Fax: City: Ft. Pierce state: FL
Phone No, Zip Code: 34945 Fax:
E-Mail: Phone No
Fill in fee simple Title Holder on next page ( if different E-Mailtreasurecoastqc@gmaii.com
from the Owner listed above) State or County License CG C 1526542
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:
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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 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.
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Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF-� L
5war o (or affirmed) and subscribed before me of Swoor (or affirmed) and subscribed before me of
k. Physical Presence or Online Notarization Physical Presence or Online Notarization
this of , 202P by this 2` --day of N1,..1�r_i.. 2020 by
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Name of person making statement. Name of person mak7zroduced
Personally Known OR Produced Identification Personally Known Identification
Type of Identification Type of Identification ``��
0 � Produced 0 L-
Produced
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(Signatul'e of Notary ublic- State of Florida) (Signature of Notary Public- State of Florida )
Commission No. (Seal) Commission No. G& —)-C� (Seal)
Nglary PuhliC Slate a! Florida
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