HomeMy WebLinkAboutAPPLICATION - REPLACE WINDOWS - SKYLIGHTS - DOORSFee Due:
FA
3.
St. Lucie County Building & Zoning Department
2300 Virginia Avenue SUANNED
Fort Pierce, FL 34982 ��
772 a62-Isr St. WOPConnt1/
APPLICATION FOR REPLACEMENT OF
WINDOWS, SKYLIGHTS, DOORS & OVERHEAD GARAGE DOORS
LOCATION/SITE ADDRESS: 57/1 P.' .626e', G d' 311! p
PARCEL ID NUMBER:
DESCRIPTION OF PROJECT OR WORK ACTIVITY:
4. TYPE OF STRUCTURE: L FR LYOTHER
S. OWNER INFORMATION : 6. CONTRACTOR INFORMATION
Name:. �t/ f L L �Q �, ...` /, D 0 FL Reg/Cert #•
Address:/// EC/f U//YES C/ %1 County Cert#:
City: r7— State: j= L Business Namt
Zip: gT 90 Phone: i/./y48,�r7 . Phon34
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Fax W/—
ow , CP
roduct Table 1606.2B
•' IS' maximum height
Minimum Design
Pressure
Design
Pressures
Manufacture
Model
Number
NOTICE OF ACCEPTANCE #
FLORIDA #
130 mph
140 mph
Windows & Skylights
Exposure B .
90.7
47.2
Exposure C "•
49.2
57.1 .
Swing & Garage Doors
Exposure B
38
44
Exposure C
45.9
53.2
7. VALUE OF CONSTRUCTION: $
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in
compliance with all applicable laws regulating construction and zoning.
jui I A-14 T. A-a19 y 941,&.
PRINT QUALIFIERS/OWNERS NAME jj�� �. SIGNATURE OF QU IFIERIOWNE
STATE OF FLORIDA,�ICOUNTY OF /C 1� e1W ACKNOWLEDGED BEFORE ME THIS(/ DAY OF
20�� ! H/,Y �%�Ir ��(i%l�l' 7 t HO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
30 ` W` � `r � .AS IDENT •1 ATION.
` v `i L/ vim^ `.eiv seal
IGN OF NOTARY TYPE OR PRINT NAME OF N07
LIC
TITLE: TARYP BM BEATRIZGOYOOCHEA
COMMISSION NUMBER •:_e .: Y COMMISSION# DD 601439
N EXPIRES: Juty2,2011
i(�"'; .. tklWatlfiruNaeryCu6k UnMnvMaie
Window. Skylight, Doors. Garage Door permit application 7119105 dmg
NOTICE TO O WNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
❑ Attach-2 copies of the NOA or Florida approval with details to the product being used
INSTRUCTIONS
Please complete all information in the space provided. All information must be Printed (use black or blue ink only) or Typed.
This application for replacement of Windows, Skylights, Doors & Overhead doors to be used for only those activities that.are not otherwise
included under a primary building permit. This application for Permit may not be used for any activity that includes any type or kind of
structural alteration. Building'activities involving structural alteration, in addition to the replacement of Windows, Skylights, Doors &
Overhead doors, must be permitted through the regular building permit review process. The information to be provided with this application
includes:
1. LOCATION/SITE ADDRESS: ................... ; .......................... Indicate the street address, or general location, of the property on
which the building activity is taking place.
2. PARCEL ID NUMBER: .... ................................................... Indicate the Property Tax Identification Number for the property on
which the building activity is taking place.
3. DESCRIPTION OF PROJECT OR WORK ACTIVITY........ Briefly describe the building activity under permit application.
4. OWNERS INFORMATION: ................................................. Indicate the name and address of the owner of the property on which
the product is to be installed.
5. CONTRACTORS INFORMATION: .................................... Indicate the State of Florida'(if applicable) and St. Lucie County
contractors registration numbers, and the name of the business doing
the work.
6. VALUE OF CONSTRUCTION: ...........................................
Indicate the total value of the work to take place. Total cost of
construction includes all material and labor costs associated with the
building/construction activity. The value of construction is used to
determine the amount of permitting fees to be assessed. St. Lucie"
County.reserves the right to question and/or modify the indicated
value of construction if it is demonstrated that the submitted'ftgures
are not consistent with similar types of construction.
All applications for Permits are to be submitted to the St. Lucie County Building and Zoning ;Department, St. Lucie County Administration .
Building, 2300 Virginia Avenue, Fort Pierce, FL 34982. All applications for Permits must be complete and filed with the Department no
later 4:30 P.M. each business day. No applications will be accepted for processing after 4:30 P.M. For assistance in completing this
application, please contact the St. Lucie County Building and Zoning Department, at (772) 462-1553, during regular office hours (8:00 AM
- 5:00 PM), Monday through Friday.
Following the issuance of this Windows, Skylights, Doors & Overhead doors replacement Permit, the scheduling of all required inspections
may be made by calling (772) 462-1261.
SLCCDV FORM NO: 006-05
window. Skylight, Doors, Garage Door permit application 7/19105 drng