HomeMy WebLinkAboutBuilding Permit Application - SingletonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/27/2021 Permit Number:
�o LULU
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
PERMIT APPLICATION FOR:Replacement Of Windows with Impact
PROPOSED IMPROVEMENT LOCATION:
Address. 1506 NW SWEETBAY CIR Palm City, FL 34990
Property Tax ID #: 4426-803-0047-000-6
Site Plan Name: Singleton, Peter
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement of Windows with Impact
FL NOA 21461 FL NOA 22250
FL NOA 20-1208.07 FL NOA 20-1116.03
New Electrical Meter Second Electrical Meter
X
Lot No._
Block No.
CONSTRUCTION INFORMATION: I
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: $ 53,200.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Peter F Singleton
Name:Jeffrey Walsh
Address:1506 NW Sweet Bay CIR
Company: Liberty Impact Windows & Doors
City: Palm City State:
Zip Code: 34990 Fax:
Phone No.412-260-6169
Address:257 SE Monterey Rd
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No 772-444-7112
E-Mail:N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail info@libertyimpactwindows.com
State or County License CGC1528257
If value of construction is 2500 or more, a RECORDED Notice of Commencement is requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW ATIO
INFORMN:
DESIGNER
^^�^� /ENGINEER: X
Name: Not Applicable
Address.
City:
Zip:
Phone State:
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address:
Zip: Phone:
MORTGAGE COMPANY: -X Not Applicable
Narne:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Appll ac b el
Name:
Address:
Ci
r•
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation in '
I certify that no work or installation has commenced prior to the issuance of a permit.
as dlcated.
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.
I .
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 RE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER ATT RNEY BEFORE RECORDING YOUR NOTICE OF COMM
ENT."
Signature of ner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF 7 f
Thg#Q oing instrun ent was acknowledged before me
�o-i day of I _ t_, ► ` 20,E by
Name f p rson m ing statement.
Personally Known Yr OR Produced Identification
Type of Identification
Produced
<7_•.
P` II(
CS n ture o`f�Not ry Public- State o Flor'd
Comm��n f 0 P b is State of Flonda
St Elie Spurlin
My Commission HH 057731
Expires 10/27/2024
REVIEWS I FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature of C tractor/License Holder
STATE OF FLORIID
COUNTY OF_ '! I �Q
- � (,10 I P
The forgoing instr ent �acknowleclg efore me
this day of '20by
07
�J
Name of person mWing statement.
Personally Known OR Produced Identification
Type of Identification
Produced
,J7
(Signature of Notary Public -State 6f Florida )
1
from sl n No. NNoottasryry// state or Florida 4
i Stepfi`an* in
y a My Commission HH 057731 1
SUPERVISOR I PLANS I VEGETATIO R LE MANGROVE
REVIEWI REVIEW I REVIEW l REVIEW , REVIEW