HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
`` ° Building Permit Application
Planning and Development Seances /
Building and Code Regulation Division Commercial _ Resider dal V
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-15S3 Fax: (772) 462-1578
PERMITAPPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 6812 Shelly Terrace, Port St Lucie, FL 34952
Property Tax ID #: 3415-705-0009-000-0 Lot No
Site Plan Name: Block No.
Project Name: Choi" William Bauer
DETAILED DESCRIPTION OF WORK:
Replacement 7 Windows ) M PJ,G
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 _ Windows/Doors _ Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 15,700 Utilities: _Sewer Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
NarneCherly & William Bauer
Name Stephen Lambert
Address:6812 Shelly Terrace
Company:Newsouth Window Solutions
City: Port St Lucie state: FL
Address:2526 Okeechobee Blvd.
City: West Palm Beach State:FL
Zip Code: 34952 Fax:
Phone No.772465-1127
Zip Code:33409 Fax:561-478-4100
E-Mail:
Phone No 561-712-9000
Fill in fee simple Title Holder on next page ( if different
E-Mail permits-wbp@newsouthwindow.com
State or County License SCC131151763
from the Owner listed above)
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.
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DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
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 instal Iationas 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 ape rmit 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 apoll cations 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: Your failure to Record a Notice of Commencement may result in paying twice for
improvement to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Co a d posted on the jobsite before the first inspection. If you intend o obtain financing, consult
with I der an attorneAlefoi commencing work or recording Vour No Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLO /�
STATE OF FLORI�jA I
STATECOUNTYO
COUNTY OF t .l 1
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_ Physical Presence or_'Znline Notarization
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Name of person rfiaking statement.
Name of pers61h making statement.
Personally Known OR Produced Identification_JZ
Personally Known _.z�R Produced Identification
Type of Identification
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Produ dd 1>
Type of Identification
Produced ____
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