HomeMy WebLinkAboutBuilding Permit App - Durig I All APPLICABLE INFO MIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
I Date: Permit Number-. I
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building Permit App!iCation I!
Planning and DeveiopmentServices
Building and Code Requlation Division Commercial Residential XXXX
2300 Virginia Avenue,fort Pierce FL 34932
,Phone:(772)462 1553 Fax. (772)462 1578
I� PERMIT APPUCATION FOR:►A1.,,,4^-&i Dpr.l �+.,I—e�t I#
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!I I PROPOSED IMPROVEMENT LOCATION:
ATION:
Address: 159 PEPPER LN I
Propf-rtvTay ID 3t- 4511-503-0008-000-1 Lot No. 2 f
Site Plan Name: BAY TREE LOT 2 Block No.
Project Name. Thoma/Durig Window Replacement
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DETAILED DESCRIPTION OFWORK. — I�
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F jH Vvinaows-i i openings-impact
New Fiectrieal Meter _Second Electrical Meter
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Additional work to be performed under this permit—check all that apply: �I
_iviECl?d�iiLe�i _flcx Tar.' :;r P Ping _ Shutters Windows Doors rr'ond I�
IElectric _Plumbing _Sprinklers _Generator _Roof Pitch i!
Total Sq. Ft of Construction:-___. _ Sq. Ft.of First Floor: ,_._. __ _-_ - _-_ 11
I; Chet Of Coristru tiert:C 26,450.00 Utilities: —Sewer _Septic Building Height:_
OWNFRf LFSSFE: CONTRACTOR:
Name Ted A Durig&Douglas L Thoma Name:Jonathan Slarratt
Address:2369 Sydneys Bend OR company:White Aluminum
11 , City: Miamisburg.OH State:_ I Address:2933 5E Gran Parkway
Zip Code: 45342 Fax: City: Stuart State:FL
Phone No. Zip Lode: 3:99; Fax: I
E-Mail: _ _ Phone No 772-692-0090
! Fill in fee simple Title Holder on next page(if different E Mail njohnson@whitealuminum.com
from the Owner listed above) State or County License CGC 1523855
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.
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1 I DESIGNER/ENGINEER: r,vy"Not Applicable ..+MORTGAGE COMPANY: x Not Applicable
AddrP« 4?-L5 [D 0 Address: }
City: )Jccv CCL - _ State: FL City: State: ,
I Zip: azssr Phone 2_20Z_'�OCg I Zip: Phone: I
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable f�
mama• Name- 1 I
Address: Address:
City: City- li
J Lip: Phone: Zip: Phone:
II OWNER CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated. I I I certify that no work or installation has commenced prior to the issuance of a permit.
iSt.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
Iwhich is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult wrth your Home Owners Association and review your deed for any restrictions which may apply.
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in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments. I
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
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WARNING TO OWNER:Your failure to Record a Notice of Commencement may result Irt paying twice for
improvements to your property.A Notice of Commencement must be recorded in the public records of St.
iini n r-nunt,l nnei nnctorl nn tha inhcit,.hpfnra the first incnartinn If vni i intonri to nhtain finanrinv rnrtcnit
with lender or an attorney before commencing work or-recordinP your Notice-of Com_m_encement I
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Signature of Own&/Les a/Contractor as Agent for Owner ! Signature of Con acto icense Holder
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I COUNTY OF �� Y 1 �V`1�� COUNTY OF—
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IName of person making statement. Name of person making statement.
Personally Known A OR Produced Identification Personatly Known n OR Produced Ident7Tication
Type of Identification Type of Identification
Produ Produced_
�I I (Signature f N y Public-State of FiloArii J r of No�,yublic-State of Flori )
i ! ,AV 0 otary Public State of Yrnida F�'�i
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Commission No. u S1u1 :° ?ai�n efa 5la !es Corn Sion No. GGmI�My corny es on GG 7 r 02 �alNli co ,-js onS
Expires 07104r2022MyC 5 ovown222 3 2
t Ek area 07/0412022
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DATE
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DATE
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