HomeMy WebLinkAboutPermit Application - SchmidtAll APPLICABLE INFO MUST, 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/15/2021 Permit Number:
QD
- _ Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XXX
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1SS3 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Replacement Of Windows & Door
PROPOSED IMPROVEMENT LOCATION:
Address: 13201 Harbour Ridge BLVD Palm City, FL 34990
Property Tax ID #: 4425-604-0022-000-1
Site Plan Name: Schmidt, Dale
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Replacement of Windows & Door
FL NOA 22645.1
FL NOA 21461.1
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: i
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: $ 8,220.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Dale Schmidt
Name: Jeffrey Walsh
Address: 13201 Harbour Ridge Blvd
Company: Liberty Impact Windows and Doors
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No. 630-853-3612
Addr-ess:257 SE Monterey Road East
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No772-444-7112
E-Mail libertypermitting@gmail.com
I State or County LicenseCGC 1528257
E-Maik N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
It 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAWN INr-nor A inly•
DESIGNER/ENGINEER: x Not Applicable
Name: "—
Address:
City:
Zip: Phone State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFF
MORTGAGE COMPANY: �( Not Applicable
Name:
Address:
City- State:
Zip: __________ Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City.
Zip: ___ Phone:
IDVIT: Application is hereby made to obtain a permit to do the work and instailationas 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 restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
I .
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
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY_ A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
"WARNING TO OWNEIE YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
POSTED ON THE JOB SITE�RE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FlNANCING, CONSULT
WITH YOUR LENDER AEY BEFORE (»CORDING YOUR NOTICE OF COMM
-1 1 - -UMM"T a
Signature of ner/
as Agent for Owner
STATE OF FLOI�(d�
COUNTY OF JJ
The forgoing ins (nen was acknowledged before me
this � day of 20 l-1 by
r
\_
Name of pers n makingistatement.
Personally Known _' OR Produced Identification
Type of Identification
Produced
(Signar_turd of Notary Public- State of Florida )
Commission o.
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REVIEWS FRO T
C0L!R R REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature of
Holder
STATE OF FLORIQA l
COUNTY OF.,
The forgoing inst ent s a knoWedged before me
this � day of ' 26 2 1 by
Name of p r on maki statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Sof Notary Public- S e of Florida)
T.7Comrrtissn T3 /_ ,,,'`
�yl6"" of Florida
Stephanie Spurt;n
.I Yy COMMMNOn HH 057731
PLANS I VEGETATIO
REVIEW I REVIEW i REVIEW , REVIEW