Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �al�� rJ Permit Number: RECEr: DEC 18 SIS Building Permit Application 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 PERMIT APPLICATION FOR: „PRC?P,QS`ED IMPROVEMENT LQCATIt=? ) Address: 2859 DEVINE RD,FT.PIERCE, Legal Description: Pro pertyTax ID#:3403-502-0127-000-3 Lot No. Site Plan Name: Block No. Project Name:CLARK,JOHN&NANCY Setbacks Front Back: Right Side: Left Side: r, DETAILED DES'CRIPTIN'aF 0 Replacement Windows,and boors f�/ �l��©mss, ���"G���✓��j, CONSTRUCTIC}N INFORMATION ��. . _ T Additional wor to be nertormed under tis permit—c ec a apply: OHVAC Gas Tank ❑Gas Piping _Shutters [T�[Windows/Doors DElectric ❑ Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$ 30,000. Utilities:lSewer Septic Building Height: O1r1f N ER/LESSEE - ' C 3 ON1'RACTOR Name CLARK,JOHN &NANCY Name:Sam Ochstein Address: 2859 DEVINE RD;., ' Com pany:.NewSouth.Window.of West Palm Beach City:'FT.PIERCE State: . Addre'6.2511 WESTGAT.E:AVE SUITE 11 Zip Code: Fax: City:West Palm�Beach State:FL Phone No. Sr :3H 1 2 Zip Code: 33407 Fax:561-478-4100 E-Mail: Phone No, 561-712-9000 Fill in fee simple Title Holder on next page( if different E-Mail: westpalmbeach(iDnewsouthwindow.com from the Owner listed above) State or County License:CRC1330822 If value of construction is$2500 or more,a RECORDED Notice of commencement is required. SUPPLEMENTRL CONSTRUCTION LIEN LAW INEf?ftMATIC3N . . 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: Clty: Zip: Phone: ZIP: Phone: I certify that no work or installation has commenced priorto the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holderto 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. Sign re of Owner/Agent/Lessee Signature of Contr ctor/L en a Himcrer STATE OF FLORIDA STATE OF FLORIDA nn COUNTY OF �U �Le COUNTY OF �cv�(�- ,YjC UC�/L The forgoing instri.m}ent wa acknowledged before me The forgoing instrument was tICKnowledged before me this day of I J0V'9kt Q 20 14 by this day 20 14, by (Name of person acknowledging!) (Name of person cknowledging) fSignatur6 of Notary Public-State of Florida} (Signature of Notary Public-State of Florida} Personally Known OR Produced Identification v Personally Known V1 OR Produced Identification Type of Identification Produced --D. Io,(p,4L�, Type of Identification Produced Commission No. I} Commission No. P `f (i . )A.STONE K11V1 A,.STONE MY COMMISSION 11 FF92900c. MY COMMISSION 0 FF92M0.1 EXPIRES:October 15,2019 err ' 2019 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS