HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLI BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater I Permit Number:
Lcj
° P 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:
Address: 8514 Belfry PI, Port St Lucie, FL 34986
Property Tax ID #:3327-701-0031-000-1
Site Plan Name:
Project Name: Richard or Barbara Schukraft
DETAILED DESCRIPTION OF WORK:
Install 11 impact windows and 2
Lot No.
Block No.
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional workto be Performed underthispermit — checkallthatapply.
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: S 49,821 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Richard or Barbara Schukraft
Name: Ronald Heath
Address: 8514 Belfry PI
Company: Max Guard Hurricane Windows LLC
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No.772-342-4910
Address:2253 Vista Pkwy, Ste 12
City: West Palm Beach State:FL
Zip Code: 33411 Fax:
Phone No 561-276-7100
E-Mail: barbara.schukraft@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Rheath@maxguardhurricane.com
State or County License SCC131151738
• •-•-- ......••..•+. .....� wvv ... mom. c, a mwnuuu nuuw ur wmmencement Is required.
If value of HAVC Is S7,500 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: Applicable
Name•_
_Not
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a to do the installation
permit work and as Indicated.
I certify that no work or installation has commenced priorto the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the su bject structure
which is in conflict with any applicable Horne 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 afull 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 lender or an attorney.
ttorne before Commencin work or recording our Notice of Commencement.
�7
ignature of owner/ Lessee/Contra or as Agent for Owner
STATE OF FLORIQA
COUNTY OF J� Loc. e
Swor to (or affirmed) subscribed before �hysical
end me of Presence or Online Notarization
this day
of� ,20 k by
I�CahA
i C Q1— A
Name of person making statement.
Personally Known OR Produced identification
Ty a of I=uced�/
tl1111111gjJ/'/
(Signature of Nota7ry Public- State of Florida) ��• OTAH}•.�'9%
3.5�r �/(
Commission No. 1C;L (Seal)
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