HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� J QJ Permit Number:
'o
~' 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: Windows
PROPOSED IMPROVEMENT LOCATION:
Address: 2355 Dyer Rd
Property Tax ID 4: 3414-501-1409-300-5
Site Plan Name: St Lucie Gardens
Project Name: _ _
X
Lot No.9
Block No. 2
DETAILED DESCRIPTION OF WORK:
Remove & Replace windows
New Electrical Meter Second Electrical Meter__
CONSTRUCTION INFORMATION: 1
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: $ 10,652.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Doug DiJoy
Name: Luis J Silva
_
Address: 2355 Dyer Rd
Company: Window & Door Storm Protection Professionals, LLC
Address: 2559 SW Kenilworth Street
City: Port Saint Lucie State:
Zip Code: 34952 Fax:
Phone No.772-834-9075
City: Port Saint Lucie State: FL
Zip Code: 34953 Fax:
Phone No 941-227-4323
E-Mail:ddijoy@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Permitting@wdspp.com
i State or County License CGC1530506
If value of construction is 2500 or more, a RECORDED Notice oT commencement is requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: _
Address:
City:
Zip:
GINEER: -Y, Not Applicable MORTGAGE COMPANY: \I(- Not Applicable
Name:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
State:
Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY: C Not Applicable
Name: _
Address:
City:
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 conflicts with anY applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 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 Notice of Commencement.
fA .
Signatu Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORID
-' �
COUNTY OF
Sworn affirmed and subscribed before me of ✓Physical Presence or Online Notarization
this cay of �• 20.D'kby
c��.\�z-
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
-Piv ELIZABETH SMITH -WOOD
Commission No. (Seal) A: .: Commission # HH 156395
�q`,= Expires July 21, 2025
'.: OF F��•` Bonded Thru Troy Fain Insurance 8w.3e5-7019
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Rev 5/20/21