HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ?, I -'q-t Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulatlon Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Windows & Doors
PROPOSED IMPROVEMENT LOCATION: V _
Address: 6006 Petticoat Place, Fort Pierce, FL 34982
Property Tax I #: 3410-503-0304-000-3
Site Plan Name: Palm Grove
Lot No. 4
Block No. K
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove & Replace (9) Windows & (3) 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
_ Electric T Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 20,840.00
Generator
XWindows/Doors
Sq. Ft. of First Floor:
Roof
_ Pond
Utilities: —Sewer _Septic Building Height:
Pitch
OWNERAESSEE:
CONTRACTOR:
Name Karen Woikowski
Name: Luis J Silva
Address: 6006 Petticoat Place
City: Fort Pierce State: �-7 -
Zip Code: 34982 Fax:
Phone No. 860-215-1961
Company: Window & Door Storm Protection Professionals, LLC
Address: 2559 SW Kenilworth Street
City: Port Saint Lucie State: FL
Zip Code: 34953 Fax:
Phone No 941-227-4323
E-Mail: kwolko@comcest net
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
E-Mail Permitting@wdspp.com
State or County License CGC1530506
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 iNFOFiMATtON � —
DESIGNI~R ENGINEER: 5X- Not Applicable MORTGAGE COMPANY: __�L Not Applicable
Name: _ _ -- Name:.
Address: _ Address:
City: State:
Zip: Phone Zip: Phone:.
FEE SIMPLE TITLE —H LDER: — Nat Applicable ^tBONDtNG COMPANY:_Nat Applicable
i Name: _ ...._.....__ _ ___. Name:
`Address: _ - - Address
i 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 conflicts with an� applrcable Homeowners Association rules; bylaws or and covenants that may restri4t or prohibit such
structure. Please consu t wiith your Homeowners 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 appiications 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 (ender or an attorneys before cgrtimencirwork orrecording your Notice of Cc�rr+mer3cemr)t_
Signature of Owner/ lessee/Contractor as Agent for Owner
l
STATE OF FLORIDA,,
COUNTY OF_
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Sworn t r affirm , and subscribed before e of Physical Presence or Online Notarization
by
this aY of _cam— ts-cc1pe2�
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Name of person making statement.
I Personally Known ✓ OR Produced Identification
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1 Type of Identification Produced _ _-_M______w__
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(Signature of Notary Public• State of Florida) ELIZABETH SMITH•WOOC
Commission # HH 156395Commission No, (Seal) `' Expires July 21,2025Bonded
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Thru Troy Fain Insurance 800.385.7019
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER i REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
rDATE .'_-..—_ - _...-..____.__ _-.__.-__-..-._ � _..._____ ---_
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RECEIVED
COMPLETED
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