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Home My WebLink AboutAPPLICATION FOR REPLACEMENTDATE: 1 r EIPT: e� PERMIT NU PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION SCANNED 2300VirginiaAvenue BY Fort Pierce, FL 34982 St. LLICie County (772) 462-1553 APPLICATION FOR REPLACEMENT OF WINDOWS, SKYLIGHTS, SWING DOORS, SLIDING GLASS DOORS & OVERHEAD GARAGE DOORS L LOCATIONISITEADDRESS: SAT%Os On 3t0o tJ 41 A PL '349 qj 2. PARCEL1DNOMBER lg1SGO600 $3000 3 3. DESCRIPTION OF PROJECT OR WORK ACTIVITY: IJ 'J �i D� RC rr I Z �rFi� /atis 4. TYPE OF STRUCTURE: SIR MOBII.E HOME OTHER 5. OWNERS INFORMATION Name: SGAos Dn 4L OcAr(I A (DMDO SEcf 1 Address:3nl ou Pl R City. I' s `� - `, State: F( 7;p: 3Lj q t Phone: l'iz q .9-bi4 Email: CGnpS 31 oo Q' 5r:AA- Gov. - 6. CONTRACTORS INFORMATION FI ReyJCert#. Cijx-1 a , I -Ll Z CountyCert#: `ti a-3T'' n/� Business Name:0ViOD ywti . .f, 14ASO%1L WPSf PhoneNumber.'&W- CO- q-700 Email: f1s iki .Mtl✓@ l?lar ap000n'rC. WN COMPONENT ID. PRODUCT DESIGN PRESSURE PRODUCT APPROVAL # WINDOWS SKYLIGHTS SLIDING -GLASS DOOR SWING DOOR MULLIONS OVERHEAD GARAGE DOOR [] Attach 2 copies of the Product Approval with details to the product being used. VALUE OF CONSTRUCTION: $ 0r a 00 .00 FM DUE: It 5. a� OWNER,s AFFmAvrr: I certify that all of the information contained in this application w t and that all rlf w' be done in compliance with all applicable laws regulating comITWon wnig .S4*3-tB 0 ylyvz OQC�w /Cz\�t kL-' �'�ti� _Qli>=3�D�N - PRRVTOWNER ORCO CrORIQUA�LrME-R NAME SIGNATURE OFO ORCONTRA R/QU SPATE OF FLORIDA, COUNTY OF - J ` ` LUe1- �/J ACKNOWLEDGED BEFORE METHIS _DAY OF �i 20 �� .BY 1\k \T0t U� �O�� ZLA S PERSONALLY KNO WN TO OME O WHO HAS PRODUCED AS IDENTIFICATION. 4444 oL .—ri �FIYT to e A . Ct' �S TURE OF NOTARY TYPE OR PRINT NAME OF NOTARY ((,,�� fin} SEAL TITLE: NOTARY PUBLIC COMMISSION NUMBERTq v 1 NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COrn ENcENENT MAY RESULT IN YOUR PAYING TRICE FOR nmwvmmNTs TO YOUR PROPERTY. IF You INTBtm TO OBTAIN FINANCING, CONSULT wITE YOUR LENDER YOUR NOTICE OF COMMENCEMNET . ,• n'•'vy. JAMm MEIl SA REEVES :, `� EI RESJ ne 07D20914� ?.,qf-" BaWed Thm Notary PuhlcUMervnflers ST. LUCIE COUNTY vinyl Siding 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, and Doors is to be used only for 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 s[mctmal alteration, in addition to the replacement of Windows, Skylights, Doors & Overhead Garage 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 Talc Identification Number for the property on which the building activity is taking place. 3. DESCRIPTION OF PROJECT OR WORK ACITVfPY........ Briefly describe the building activity under permit application. . 4. OWNERS INFORMATION: ......... Indicate the name and address of the owner of the property onwhich the product is to be installed 5. CONTRACTORS INFORMATION :.................................... Indicate the State of Florida (if applicable) and St Lucie County contractor's 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 buiRdineconshuction activity. The value of construction is used to determine the amount of permitting fees to be assessed St Lucie County reserves the not to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similaz 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 completed and filed with the Department no Liter than 4:30 P.M. each business day. No applications wilt be accepted for processing after 4:30 PAL 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 Pe®it, the scheduling of all required inspections maybe made by calling (772) 462-1261. SLCCDV FORM NO: 006-05 Raviw& 4/10/2012 PDSD JC