HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �j 0/�
Date: Permit Number: S l! ` 0
RECOV ®
Building Permit Application OCT 0:5 2095
Planning and Development Services
Building and Code Regulation Division PERM H i li.:�;
2300 Virginia Avenue,Fort Pierce Ft 34982
St.Lucie Cc! r.?. r
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door 1771
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PROPOSED IIVIPROVEMEIVT LOCATION
Address: 305 W ARBOR AVE, PORT ST LUCIE, FL 34952
Legal Description: RIVER PARK UNIT 1 BLK 9 LOT 21 &22
Property Tax ID#: 341950101090007 Lot No.21&22
Site Plan Name: Block No. 9
Project Name:
Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A
DETAILED DESCRIPTION OF WORK z
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REPLACE THREE FRONT WINDOWS ALL LIKE SIZE WITH INSULATED VINYL FRAME IMPACT
RESISTANT SINGLE HUNG WINDOWS - 2 IN LIVING RM, 1 IN BATHROOM; PRODUCT
APPROVAL #16177.1
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CONSTRUCTION INFORMATION
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Additional work to be performed under this permit—check• a appy:
HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers E]Generator 1:1 Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 2400.00 UtiIities:cnSewer ElSeptic Building Height:
OWNER/LESSE'E ¢' CONTRACTOR '` f
NameJAY SADDINGTON Name: CLIFFORD WELLS
Address:1164 LONG COLLEGE DR Company: TREASURE COAST HOME IMPROVEMENTS,INC
City: WARMINISTER State:PA Address: 873 SW CALIFORNIA BLVD
Zip Code: 18974 Fax: City: PORT ST LUCIE State:FL
Phone No.215-397-8393 Zip Code: 34953 Fax: 772-673-3783
E-Mail: Phone No. 772-263-9287
Fill in fee simple Title Holder on next page(if different E-Mail: CLIFFW5050@GMAIL.COM
from the Owner listed above) State or County License: CRC057901
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUP
PLEM'ENTAL CONSTRUCTION LIEN LAW INFORMATION"
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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:
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 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 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
commencing work or recording our Notice of Commencement.
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_Signature of r/Lessee/Agent Signature of actor License Holder
STATE OF FLORIDA STATE OF LORIDA ,
COUNTY OF Si—l..}eiCOUNTY OF
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20/_Cby thisS_ day of 20 X_ by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-StE6 of Florida) Oign4ure of Notary Public- ,a ,
`_ '•�.�" +`�= No LASHAHNA INGRAM
Personally Known OR Produced Identification Personally Known K �r1r��Ifl(f WIT Sta
Type of Identification Produced Type of Identification Produ. �9` "oY,; omm.Expiresn.c 90,201,
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Bonded ssion#FF 17724901
Commission No.
(Seal)
Commission No. ough National Notary Assn.
Revised 07/15/2014 LASHAHNEStaF
• pv Pv`, ; Notary Public- lorida"9, Com ission 249REVIEWS FRONT '�•,q ndedthou�If aA n. LANS VEGETATION SEA TURTLE MANGROVE
COUNT VIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS