HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03-04-2022 Permit Number: ________ _
Building Permit Application
Planning and Development Services
Residential X Building and Code Regulation Division Commercial ____ _ ------
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding ___ _
PERMIT APPLICATION FOR: Impact windows and doors. (15), (4).
PROPOSED IMPROVEMENT LOCATION:
Address: 2002 N\l Laurel Oak Ln Palm City, Fl 34990
Property Tax ID#: 4425-605-0034-000-l Lot No. ___ _
Site Plan Name: __________________________ _ Block No. __ _
Project Name: _H--'y"-e_r_s ________________________________ _
I DETAILED DESCRIPTION OF WORK:
Replacements of existing Windows and Doors. (15), (4).
New Electrical Meter ____ Second Electrical Meter ______ (Affidavit required)
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical
Electric
Gas Tank
_Plumbing
_ Gas Piping
_ Sprinklers
Shutters !_ Windows/Doors
Generator Roof ----
Pond
Pitch
Total Sq. Ft of Construction: _4_7_7 _____ _ Sq . Ft. of First Floor: _________ _
Cost of Construction: $ 45000. 00 ___ ..;...._ ____ _ Utilities: _ Sewer _ Septic Building Height: ___ _
OWNER/LES SEE: CONTRACTOR:
Name Michelle My ers Name: Hubert Herrero Jr
Address: 2002 N\l Laurel Oak LN Company: Window Plus Inc
City: Palm City State: FL Address: _8_9_0_E_3 _8 ..;..th;.;.._S_t'-----------
Zip Code: 34990 Fax: _______ _
Phone No. 561-214-0399
Mail: _______________ _
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
City: Hialeah State: FL
E-Zip Code: 33013 Fax: 786-217-1410
Phone No 786-367-7671
E-Mail hhwindowplus@l i ve. com
State or County License SCC131150792
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.
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: Appl icat ion 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 conflicts with any applicable Homeowners Associat ion rules , bylaws or and covenants that may restrict or prohibit such
structu re . Please consult with your Homeowners Association and review your deed for any restrictions which may apply.
In consideration of the granting of th is requested permit, I do hereby agree that I w i ll, in all respects, perform the work
in accordance with the approved plans, the Florida Build ing Codes and St. Lucie County Amendments.
The followi ng building permit applications are exempt from undergoing a full concurrency rev iew: room additions,
accessory structures, swimming pools, fences, walls, signs , screen rooms and accessory uses to another non -residential use
W ARNING TO OWN ER: Your failure to Record a Notice of Commencement may result in payin g twi ce 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
wi h nder or an attorne before commencin work or record i n our Notice of Commencement.
Si
President Window Plus Inc
ontractor -or -Owner Builder as applicable
Miami-Dade
Sworn to (or affirmed) and subscribed before me of _!_ Physical Presence or __ Online Notarization
this 07 day of March , 20ll by
Hubert Herrero Jr
Name of person making statement.
Personally Known X OR Produce
Type of Identification
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
FRONT
COUNTER
ZONING
REVIEW
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SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW