HomeMy WebLinkAboutBuilding Permit Application I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/20/21 Permit Number: v W
RECENED
(�'r
o AUG 2 4 2021
' Building Permit Application st.Lucie county
Planning and Development Services Permitting
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: Sliding glass doors
PROPOSED IMPROVEMENT LOCATION:
Address: 5055 N.A1A #706 Bldg. C
Property Tax ID#: 1414-601-0144-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Seidenberg door's
DETAILED DESCRIPTION OF WORK:
Furnish and install two new sets of insulated non-impact sliding glass doors — owner has shutters
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:$ 17,012.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Paul Seidenberg Name: Chris Milliman
Address: 5055 N.A1A #706 Company: Window Sales&Service of VEro,Inc.
City: Ft.Pierce State:El Address: 775 90th Ave.
Zip Code: 34949 Fax: None City: Vero Beach State: FI.
Phone No. 774-487-8541 Zip Code: 32968 Fax: None
E-Mail:—pjseidenberg@gmaii.com Phone No 772-567-3125
Fill in fee simple Title Holder on next page(if different E-Mail windowsales@bellsouth.net
from the Owner listed above) State or County License 30589
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.
-r.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Frank Farl Py Name:
Address: BflOQ I� CIS I qfp 9 Address:
City: Sebastian State: F1 City: State:
Zip: -42958 Phone 772-589-6229 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable I 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 Kith 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 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 commencin work or recording our Notice of Commencement.
;A 2�� d&__'
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Rol Ter
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Z2�,O.A R =2 COUNTY OF
Sw rn to(or affirmed)and subscribed before me of Sw?,pnto(or affirmed)and subscribed before me of
Physical Presence or Online Notarization hysical Prese a or Online Notarizatiw�
this _day of �L, y e 2020 by thi day of_ — 293�by eL
S'.' 0 �i hriS ian l'�7�11� lY)/LY7
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personal own OR Produced Identification
Type of Iden ficatl8 n Type of Iden I tlan
Produced 1 ' ✓ c i' J: Produc -
(Signature of Notary Public-State of FI P c-State of Florida)
BENOALTZ
Commission No.G�G i��7J 0,ffll"
Notary tLiyflf�T'4
(Seal)
COmmSSion+GG10T
b( C6m .Exaires tut 9,
Bor d?d! Ough Nzlicrzl Net ryA...
REVIEWS FRONT ZON TION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
��rPryu... AUDREY B.HUMPHREY
I
MY COMMISSION#GG 300817
EXPIRES:March 6,2023
I ^'�'•' P b Un
Bonded Thru Notary ulic d:n+rit (�ers ,