HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED G /
Date: 10124/2017 SCANNED Permit Number:
REW� St. Lucie County RECEIVED
• BY
Building Permit Application MAR 14 2010
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial_ Residential x
Permitting Department
St. Lucie County
PERMIT APPLICATION FOR: Window/door n Ill
1, PROPOSED IMPROVEMENT LOCATION: III
Address: 3120 N Hwy A1A, unit #1502 , Fort Pierce FI, 34949
Legal Description: Tiara Towers unit 1502-S
Property Tax ID #: 1425-610-0143-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: LeftSide:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: Ill
Remove and Replace four (4) existing window openings with Impact rated window units.
CONSTRUCTION INFORMATION: Ill
❑HVAC LJ Gas Tank ❑Gas Piping L___I Shutters ✓❑ Windows/Doors
❑ Electric 0 Plumbing ❑Sprinklers 1:1 Generator ❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 2,499 UtilitiesSewer ❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Dennis J Hall
Name: Don wicks
--Address:3120-N-HwyA1A;#f502- ------ =-
-�omPa�y. Lighthouse Contracting Inc. ----
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No.772-332-7559
Address: 2002 SE Momingside Blvd
City: Port Saint Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 772A85-8412
E-Mail: J7Eit/F�7/Q S�• C�
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Lighthousecontracting@live.com
State or County License: CBC1259158
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
11-
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 consultwrth your Home Owners Association and review yourdeed 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
cpatmencing w/irk or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA.. _
STATE OF FLORIDp .-
COUNTY OF cS'i- (// chi
COUNTY OF �f- l Unc�
The for oing instrumgn was acknowledged before me
The forgoing instrument wits acknowledged before me
�
this day of C� 1� 20�by
this day of Cr _ 20Q, by
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WL(6
nn
-0 COLL(II
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification A
Personally Known OR Produced Identification
Type of Identific ion
Type of [den ' icg�'on,
Produced L
Produced
(' n tur of ary Public-
r atu e N ry Public-S
ooiu^VP a°o ANTONIO ALTRECHE
'' • �'�SHalbry_Public -State of F
Commission No. .
S 11ANTONIO ALTRECH
ission No. -
- _ _
- - -- - -- -- - " ' Commission #FF920
•z_ .�yry Public- State of
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2019 Commisslon # FF 920,
My Comm. Expires Dec 11
'>lpo r�,, M y Comm, Expires Dec 11
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Rev. 8/2/17 1 ' *