HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
ar=� MI CrIE
e ' I 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)462-1S78
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 5706 dwarf Lady PI, Fort Pierce, FL 34982
Property Tax ID tf:3410-503-0028-0004 Lot No.
Site Plan Name:
Project Name: Christine Comeau
I DETAILED DESCRIPTION OF WORK:
6 Windows I.- ✓ti ?5i G )
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to beperformec under this permit -check all that apply:
—Mechanical
Electric
_Gas Tank
Plumbing
Total Sc;. Ft of Construction:
Cost of Construction: $ 10,629
_Gas Piping
Sprinklers
Shutters
_Generator
Sq. Ft. of First Floor:
7
Block No.
113
✓Windows/Doors Pond
Roof Pitch
utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameChristine Comeau
Name: Stephen Lambert
Address:5706 dwarf Lady PI
Company: Newsouth Window Solutions
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No.404- -2874
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-Mail permits-wbp@newsouthwindow.com
State or County License SCC131151763
If value of construction Is 2500 or more, a RECORDED Notice of Commencement Is required.
If valueof 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 TITLEHOLDER: _Not 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 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 usesto another non-residential use
WARNING TO OWNER: Yourfallure to Record a Notice of Commencement may result In paying twlcefor
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 inten to obtain financing, consult
with lender or an attorney before commencing work or recording our Noticaff Commencement.
Pr
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,
Signature of Owner/ Holder
r// Lessee Cornntracttor as Agent for Owner Signature of Contractor/License
FO
STATE STATE OF
COUNTYOFYt>-\1M i3&a,cI COUNTYOFO l'f1�M 1 2rk
to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
2,Swor
Physical Presence or Online Notarization Physical Presence or Online Notarization
this II day of =- tAXNP , 202J by this- LL day of e-TiwVNe. , 2020 by
C.4,e,.44,^-p MIS he►+
I
Name of person making statement. Name of pen n making statement.
Personally Known OR Produced Identification Personally Known -Z— OR Produced Identification
Type of Identification t1� Type of IdentificationPro
ced V Produced
(Signature of Nota 1P {Si ature atary ublic-Stat '
PHILIP G. PEROTTI
F
Commission No. state of F cc��pp--Notary Publle ,y •4y,, Nptary PuWe State of
to of is toS1/ GG 186547 Commission No. 1 /-1 Iro P,i teeahhnifet Dubien
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aea d My Commission Expires rs My Commission GG 17
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REVIEWS F N1 ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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