HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST Bl� COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Wi UILE
" �� Building Permit Application
Planning and Development Serv' es
Building and Code Regulation Di ision Commercial Residential_
23OU Orginla Avenue, Fort Pierc FL 34982
Phone: (772) 462-15S3 Fax: (72) 462-1578
PERMIT APPLICATION F R:
PROPOSED IMPROVEMENT LOCATION:
Address: 9409 Poinciana Ct, F rt Pierce, FL 34951
Property Tax ID #: 1334-503-00 8-000-5 Lot No.
Site Plan Name: _ Block No.
Project Name: Doretha Ufner
DETAILED DESCRIPTION IOF WORK:
Install Impact windows
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to he perforn
_Mechanical _ Gas
Electric _Plum
Total Sq. Ft of Construction: _
Cost of Construction: $ 38,000
under this Permit— check all that apply:
_Gas Piping _Shutters zwindows/Doors _Pond
_Sprinklers _Generator _Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Building Height:
ER/LESSEE:
CONTRACTOR:
oretha Ufner
: 9409 Poinciana Ct
rt Pierce
r
Name: Ronald Heath
Company: Max Guard Hurricane Windows LLC
State: FL
Address:2253 Vista Pkwy, Ste 12
e: 34951 Fax:
Phone No.402-883-0492
E-Mail: babsvila@icloud.com
Fill in fee simple Title Holder on
from the Owner listed above)
City. West Palm Beach State:FL
Zip Code: 33411 Fax
Phone No 561-276-7100
next page (if different
E-Mail Rheath@maxguardhurricane.com
State or County License SCC131151738
. YYrYC V f.V 11iV Y4VVII li 42V V V! FFIWf , 3 Kt WKUC V rya[r[e aT wmmencement is required.
If value of HAVC is $7,500 or more, a%RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONS
RUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER:
Name:
_Not Applicable MORTGAGE COMPANY: Not Applicable
Address:
Name:
City:
Address:
Zip: Phone
State: City: _State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACT
OR AFF rv": Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or insta I lation has commenced prior to the issuance of a permit.
St. Lucie County makes no represe tation 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 andcovenantsthat may restrict or prohibit such
structure. Please consult with you Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration of the granting of his requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved pans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit appli ations are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming po3ls, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your I allure to Record a Notice of Commencement may result in paying twice for
improvements to your pr perty. 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 attorney before commencine work or recording vrn)r Nnflra of
as Agent for
STATE OF FLORI v
COUNTY OF L) r,i Q—
Swor to (oraffr dj and s bscri ed before me of
this t day of 204 by
Name of person making
Personally Known OR
Type of Identification Prod ucei
(Signature of Notary
Commission No.r�
uced
Physical Presence or Online Notarization
(Seal) P° EILEEN McGRORY
MY C )MMISSION O GG359M2
EXPIRES: July 25, i
REVIEWS I COUONTER I REVIEW I S REVIEW R I REVIEW I V EV EWON I SEREV EWLE I MREV EWVE