HomeMy WebLinkAboutDRNEK PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
1�r War
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 AND DOORS
PROPOSED IMPROVEMENT LOCATION:
Address: 9400 S OCEAN DR #302
Property Tax ID #: 3535-702-0017-000-9
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL IMPACT ( Q ) WINDOWS AND ( ) DOORS
New Electrical Meter Second Electrical Meter
Lot No.
Block No.
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
9
Cost of Construction: $ fT , I �� •�,
Generator
V Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Richard J II & Laura L Drnek & Greta L Tucker
Name: MADELYN GUZMAN
Address:9 WAVECRET DRIVE
Company: WRIGHT'S IMPACT WINDOW & DOOR LLC
City: MASTIC BEACH State: NY
Zip Code: 33951 Fax:
Phone No. 631 605 3562
Address:7816 S DIXIE HWY
City: WEST PALM BEACH State: FL
Zip Code: 33405 Fax:
Phone No(561) 588-7353
E-Mail: HANSENCARPET@AOL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Permit@wrightswindow.com
State or County License CBC1262617
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 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.
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 attornev before commencine work or recordine vour Notice of Commencement.
Signature of Owner/lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTYOF PALMBEACH
Sworn to (or affirmed) and subscribed before me of
xx Physical Presence or Online Notarization
this 18 day of MAY 2021 20M by
LAURA L DRNEK
Name of person making statement.
Personally Kno xx OR Produced Identification
Type of IdegkiiI tion
P. y
Signature of Co I
tractor/Lice se Ho
STATE OF FLORIDA
COUNTY OF PALM BEACH
Sworn to (or affirmed) and subs ribed before me of
_ ysical Presence or 7 Online Notarization
this ��ay of AOP / 28@& by
MADELYN GUZMAN
Name of person making statement.
Personally Known xx OR Produced Identification
Type of Identification
Si na re otlNota Pu ic,: y f FIdPNd#)Hary nntaaLcn
g ry 9 (S' ure of Notary Public- State of Florida) o m
Notary Pu tic - State of Florida
• - Co is5{on # GG 172830 N a
C mission No. MyCgXpires Jan 7. 2022 Commission No. (Seal)
BoMeo through Nati°oai Notary Assn.
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