HomeMy WebLinkAboutpermit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services /
Building and Code Regulation Division Commercial Residentialy
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 1186 Nettles Blvd, Jensen Beach, FL 34957
Property Tax ID il: 4502-501-1373-000-3 Lot No.
Site Plan Name: Block No.
Project Name: James & Karen Neubauer
I DETAILED DESCRIPTION OF WORK: I
Replacement 14 Windows -Sri C}
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
_Electric _Plumbing _Sprinklers
Total So. Ft of Construction:
Cost of Construction: $ 25,287
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJames & Karen Neubauer
Name: Stephen Lambert
Address:1186 Nettles Blvd
Company: Newsouth Window Solutions
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.772-919-5406
Address:2526 Okeechobee Blvd.
City: West Palm Beach State:FL
Zip Code:33409 Fax-561-478-4100
Phone No 561-712-9000
E-Mail:
Fill In fee simple Title Holder on next page (If different
from the Owner listed above)
E-Mailpermits-wbp@newsouthwindow.com
State or County License SCC131151763
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 GQNSTRUCnON UEN iAWa-0
" ' AnON:
..
DESIGNER ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVR: 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 apermit 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 exem pt from undergoing a full concurrent , 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 your Notim if Commencement.
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S re� O ner/ Less�ractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLO
STATE OF FLORI
COUNTY OF , tin beac
COUNTY OF Q�M 2r'QLY,
Sworn (or aff rmed) and subscribed before me of
Ph ical Pre se ce or Notarization
Sworn to (or affirmed) and subscri ed before me of
Physical Firesenfe or Online Notarization
_✓Online
this of �4(� 202� by
_
this JS-day of *�, 2024 by
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Name of person making statement.
Name of persn making statement.
Personally Known OR Produced Identification
Personally Known �GOR Produced Identification
Type of Identification
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Type of Identification
Produ --144A
Produced %�
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(Sigillature of Nota
PHILI PEROTTI
Si nature In Public- Sta i
Commission No. ".state of pp��oriQ a -Notary Public
Commile�BdWe GG 158547
,yr N�oott�yy Public State of Floi
Commission No. +°UJ&(S='JerDublen
e tT: My Commission Expires
- My Commission GG 1797
December 10. 2021
A, dF Expires 0112812022
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