HomeMy WebLinkAboutPermit Application - ImprotaAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPT ED
Date: 9/9/2021 Permit Number:
G L k--- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78
PERMIT APPLICATION FOR: Replacement of Windows & Door
PROPOSED IMPROVEMENT LOCATION:
Address: 8601 S Ocean Dr Jensen Beach, FL 34957
XX
Property Tax ID #: 3534-500-0001-000-1 Lot No. 1
Site Plan Name: Improta, Rose Block No.
Project Name:
DETAILED DESCRIP T ION OF WORK
Replacement of Windows & Door
FL NOA 23358.2
FL NOA 20468.9
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply: `I
_Mechanical _ Gas Tank _ Gas Piping _ Shutters % Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4,463.00
Sq. Ft. of First Floor:
Utiliries: _Sewer _ Septic Building Height:
OWNER/LESSEE:
I CONTRACTOR:
Name Jeffrey Walsh Liberty Impact Windows & Doors
Name:Jeffrey Walsh
Address: 257 SE Monterey Rd
Company: Liberty Impact Windows and Doors
I City: Stuart State: _L.
Zip rode: 34994 Fax N/A
Phone No. 772-444-7112
Address.257 SE Monterey Road East
City: Stuart State, FL
Zip Code: 34994 Fax: N/A
Phone No772-444-7112
E-Mail:libertypermitting@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
i
E-Mail libertypermitting@gmail.com
i State or County License CGC 1528257 I
R
IT value oT construction is ZSUU or more, a RECURDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAUD INFORMATIO
DESIGNER/ENGINEER: X Not Applicable
Name: _
Address:
City: State:
Zip: Phone
FEE SI------------------
MPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFI
IV.
MORTGAGE COMPANY:
�( Not Applicable
Name:
Address:
City:
Zip:Phone:
State:
BONDING COMPANY:
Not Applicable
Name:
Address:
City:
ZIP: _ _ Phone:
DVIT: Application is hereby made to obtain a permit to do the work and instailation�as indicated.
1 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 re
structure. Please consult with your Home Owners Association and review our deed for an restrictions which may apply.
y y y strict or prohibit such
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 REStJt,T IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE RE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER ATT EY BEFORE RECORDING YOUR NOTICE OF COMMENCiYEN�r,�
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Signature
as Agent for Owner Signature of
STATE OF FLOWD
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Name of pe on making statement.
Personally Known _4 OR Produced Identification
Type of Identification
Produced
(Signaturd of -Notary Public- State of Florida )
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