HomeMy WebLinkAboutwindow replacement permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number.
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2.300 Virginia Avenue,Fart Pierce Ft 34982
Phone. (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: Replacing windows
PROPOSED IMPROVEMENT LOCATION:
Address: 650 Nettles Blvd Jensen Beach FL 34957
Property Tax ID#. 4502-501-0836-000-0
Site Plan Name: Lot No.650
Project Name: Block No.
[DETAILED DESCRIPTION OF WORK.-
Replacing all windows Non-impact keeping existing shutters J
NOA#00 'D I�0
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
—Mechanical —Gas Tank —Gas Piping —Shutters /Windows/Doors
—Electric —Plumbing —Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction:j — —
Sq. Ft. of First Floor:
Cost of Construction:$ c- ! t ��j 1 '�� Utilities: Sewer Septic Building Height:_
�T.,
OWNERAESSEE: CONTRACTOR:
Name Ronald&Karen Bettinger Name:James Newman
Address:650 Nettles Blvd Company:JWN Builders, LLC
City: Jensen Beach State: Address:
1701 SE Carvalho St.
�
Zip Code. 34957 Fax: City: Pt. St_ Lucie FL
Phone No.315-323-2028 State:Zip Code: 34983 Fax: 772-871-9500
E-Mail. Phone No 772-201-8947
Fill in fee simple Title Holder on next page(if different E-Mail jwnconstruction@comcast_net
from the Owner listed above) State or County License CRC1328282
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC 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: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF Y U INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO NOTICE OF C MENCEMENT."
Signature of Owner/Lessee/C factor as Agent for Owner Signatur of Contractor/License Holder
STATE OF FLO � � STAT OF FLORIDA
COUNTY OF .6�.. ,AQC-2- _ CO NTY OF
The forgoing instr nt was acknowledge before me The forgoing instru ent yeas acknowledg before me
this'1_11 v day of Z by this � day of 20i . by
Name of person making statement-) Name of person making statement.
Personally Known 2ZOR Produced Identification Personally Known OR Produced Identification
Type of Identification !ll1111i111N1/� Type of Identification
Produced `\\���\ MIL(�i/ Produced \1!!!!!l1llllttltl�yh
ASION
J • �Q�N
(Signat re of Notary Public-State off rrda) tk �e�t� (Signatuile of Notary Public-State offlbrEda) �.•� #
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Commission No. Commission No.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE t►I�XNGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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