HomeMy WebLinkAboutpermit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TOM ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial V Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 723 Nettles Blvd, Jensen Beach, FL 34957
Property Tax ID #:4502-501-0909-000-3
Site Plan Name: Windows/Doors
Project Name: Kathleen Rector
DETAILED DESCRIPTION OF WORK:
Install 8 Impact windows and 2 Doors
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
_Electric _Plumbing _Sprinklers _Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 26,500 Utilities: —Sewer _Septic
Lot No. _ - -
Block No.
Building Height:
Porc
Pitch
OWN ER/LESSEE:
CONTRACTOR:
Name Kathleen Rector
Address: 723 Nettles Blvd
Name:Ronald Heath
Company: Max Guard Hurricane Windows LLC
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.954-298-0331
Address:2253 Vista Pkwy, Ste 12
_
City: West Palm Beach State:FL
Zip Code: 33411 Fax:
Phone No 561-276-7100
E-Mail: kathyrector@me.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail Rheath@maxguardhurricane.com
State or County License SCC131151738
- •• .Tu 1-6 � ,.1 �11 1 �, d ncwnucu Notice oT commencement is required,
If value of 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 TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWN ER/ CONTRACTOR AFFIDVPT: 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 bylaws
rules, or and covenants that may restrict or prohibit such
structure. Please consult with your Nome Owners Association and review your deed for any restrictions which may. apply.
inconsideration 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: 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 attorney before commencing work or recording our Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORID
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Swor o (or affirmed) and subscribed before me of
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this day of A1C Js . 2028 by
Physical PresAnce or Online Notarization
this�oK dayy crf 2020 by
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