HomeMy WebLinkAboutPermit Application - ChadesAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/23/2021 Permit Number:
o
` Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
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PERMIT APPLICATION FOR:Replacement of Windows & Doors with Impact
Address: 2090 Nettles Blvd Jensen Beach FL 34957
Property Tax ID #: 4502-501-0093-000-9
Site Plan Name: Chades, Jorge
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement of Windows & Doors with Impact
FL NOA 22250
FL NOA 22645.1
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
1m►rel
Block No.
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:
Cost of Construction: $ 29,300.00
Name Jorge Chades
Address:205 SW 198th TER
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
City: Pembroke Pines State:LL,
Zip Code: 33029 Fax: N/A
Phone No.954-914-8561
E-Mail: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:Jeffrey Walsh
Company: Liberty Impact Windows & Doors
Address:257 SE Monterey Rd
City: Stuart State: FL
Zip Code: 34994 Fax: N/A
Phone No772-444-7112
E-Mail info@libertyimpactwindows.com
State or County License CGC 1528257
It 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: x Not Applicable
Name: — MORTGAGE COMPANY: �( Not Applicable
IvoiiicAddress: Name:
City: Address:
Zip:
State: City: State:
Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:
Name: — Not Applicable
Address: Name:
ri±„• Address:
r • f it`s
Zip:
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.
which is inOconflicmtawith any appplicablelHO e Owners Associiatin rulesauthorizelr and covenants that buildthe
orprohibit 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE PffQRE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER MA ATT RNEY BEFORE RECORDING YOUR NOTICE OF COMMEWAMENT."
i 1 it i ► .a
Signature ofpinmer/ Lessee/Contractor as Agent for Owner
STATE OF FLORFDA
COUNTY OFF j�I �
The for oing instru nt was a knowledged before me
this` • dayof 20 LJ by
Name of per on mak4 statement.
Personally Known 1 OR Produced Identification
Type of Identification
Produced
ommis Notary PuDllc State of Florida
hanie S�urtin (Seal)
+� My Commission HH 057731
�ja,v Expires 10/27R024
REVIEWS FRONT ZONING SUPERVISOR
COUNTER I REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature of C(Vractor/License Holder
STATE OF FLOE#
COUNTY OF It_ j_ Fc
The fjrgping instry ent was pcknowledged before me
this day of 20�W by
Name of person makir� statement.
Personally Known - OR Produced Identification
Type of Identification
Produced
I-P,.
(Signature 6f Notary Public- State of Florida )
Commission
PLANS I VE&CTAfi
REVIEW REVIEW
Notary Pudic State offselo)
'3teAtr�►fI� Spurtin
MY Commuaron HH 057731
_H I UKI CE- _I MANGROVE
REVIEW , REVIEW