HomeMy WebLinkAboutBUIILDING PERMIT APPLICATIONAll 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 Residential
2300 Virginia Avenue, Fort Pierce F134982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 7407 Kenwood Rd Ft Pierce FL 34951
Property Tax I D t1:1302-810-0084-000-9 Lot No.
Site Plan Name:
Project Name:
I DETAILED DESCRIPTION OF WORK:
Replacement 8 Windows and 1 Doors Tyh �o.-(,{- Li Mat r-y/ i` P—
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 18,949
Gas Piping
_Sprinklers
Block No.
_Shutters -Windows/Doors _ Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameKim Gift
Name: Stephen Lambert
Address:7407 Kenwood Rd
Company: Newsouth Window Solutions
City: Ft Pierce State: FL
Zip Code: 34951 Fax:
Phone No.772-925-9703
Address:2526 Okeechobee Blvd.
City: West Palm Beach State:FL
Zip Code:33409 Fax:5614794100
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 value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement Is required.
�i1IfiAL E�fiN�
�` �I:
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 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 ezem pt 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 attornev before commencing work or recording you r Notice.4 Commencement.
•
SlignawWof weer/ see/Contractor "eftfflr Owner
Signature of Contractor/License Holder
STATE OF FLil
STATE OF FL
4,t2wadn
COUNTY OFCt
COUNTYOFOMt"l �Ch
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Pff��yyssical Presence or Online Notarization
`
Physical Presence or •/ Online Notarization
this day of C�!C 2024 by
this day of Msc& , 2024 by
VA:il G`,C4
I C,-
Name of person making statement.
Name of persn making statement.
Personally Known OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification D
Type of Identification
Produ d
w
Produced QQ _
.rwi1��
(Signature of Nota PER
q5ignaturel& N ary Public- Stat
�of Florida -Notary Public
yar No[ary PuDu State of F
'Slate
Commission No. Coy Oil f oG 756547
Commission No. + W
My Coo
2 1
ission 17
Lemmiaaion
.� My commission
10
.....••'••- December 70,
December
22
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ev. 51,37.20