HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
u U.,�LIL -_
1 f `-
B
Permit Number:
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:
PROPOSED IMPROVEMENT LOCATION:
nuulebb. uca u.♦u, acuaeu Deal'a, PL J4YJ/
Property Tax ID k: 4502-501-0384-000-6 Lot No.
Site Plan Name: Block No.
Project Name: John or Maria Chades
DETAILED DESCRIPTION OF WORK:
Install 15 Impact windows
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional worktobePerformed underthispermit— checkallthatapply:
/
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors
_Electric _Plumbing _Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 32,919
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Pond
Roof Pitch
Building Heieht: 1` �-
OWNER/LESSEE:
CONTRACTOR:
Name John or Maria Chades
Name: Ronald Heath
Address: 1�Net.desBlvd
Company: Max Guard Hurricane Windows LLC
City: JenseState: FL
Zip Code: 34957 _ ___ Fax:_
Phone No. 954445-9557
Address:2253 Vista Pkwy, Ste 12
City: West Palm Beach State:FL
Zip Code: 33411 Fax: _
Phone No 561-276-7100
E-Mail: Jnchades@yahoo.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of conctrurtlnn it Iron ,..--- a ecn„n..c... Z— _.
E-mail Rheath@maxguardhurricane.com
State or County License SCC131151738
_.v, nnllllc111.!'IIINII DIequlreu.
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
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: _ State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
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 n r or an attorne before commencin work or recnrdin our Notice of Commencement,
Si atu of0 Lessee/Contractor as Agent for owner
ATE OF FLORIDA—
COUNTY OF , L Q_ /
Sworp ip (oraffirked) and subscribed be
T me of �' Physical Presence or Online Notarizatwn
this
-.�('}UI ,.n.�-. ZpJ_..bY
Name of person ma king statement.
Personally Known OR Produced Identification
Type of Identification Produced— —�
(Signature of Notary Public -State of Florida I
Commission No. UUy)
(Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLET ED
ev