HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: h� Permit Number: lI v
Building Permit Application MAR 2 8 2016
Planning and Development Services PERIMITTINGSt. Lucie County, FL
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: Window/door
P POSED tI\lIPR01lEMElU LOGATIN f ,, a .F
Address: 611 Ash Street Port Saint Lucie FL 34952
Legal Description: River park unit 2 Blk 15 Lots 5 and 6
Property Tax ID#: 3419-510-0147-000-3 Lot No.5 and 6
Site Plan Name: Nadia Gedan Block No. 15
Project Name: Nadia Gedan
Setbacks Front Back: Right Side: Left Side:
DTlILED DESCRIPTION QF WORIu � r �@
Install 10 impact windows S q
Additional work to be Dertormed under this permit—check all appy:
❑HVAC Gas Tank ❑Gas Piping in _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 10,829.00 Utilities:Sewer Septic Building Height: 15'
01tUNER/LESSEEy CONTRACTOR l
Name Nadia Gerjan Name: Alejandro Ondarza
Address:611 Ash Street Company: Storm Guard Impact Window and Door
City: Port Saint Lucie State:FL Address: 6685 Forest Hill Blvd.Suite 209
Zip Code: 34952 Fax: City: Greenacres State.FL
Phone No.845-551-4142 Zip Code: 33413 Fax: 561-249-2302
E-Mail: Phone No. 561-594-1540
Fill in fee simple Title Holder on next page(if different E-Mail: zac@stophurricanes.com
from the Owner listed above) State or County License: CGC1523239
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER. _Not Applicable � �� '�� � ��
Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: of 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 Count 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 wilf,in all respects;per of rn t eh—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 Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If y intend to obtain financing, consult with lender or an attorney before
commencin workErclotice of Commencement.
111101 7
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Signature of Own rSignature antractor/ ' se Holder
STATE OF FLORIDSTATE OF FLORID
COUNTY OF COUNTY OF
The or ping ins tr ment wa acknowledged before me The forgoing instrufnent was acknowledged before me
this day of 20 by this day of 20 by
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(Name of person acknowledging) (Name of persoj acknowledging)
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(Signature of Notary Public-State of Florida) / (Signature of Notary Public-State of Fiorida) -
Personally Known OR Produced Identification V Personally Known OR Produced Identificationy
Type of Identification Pr Type of identification Pr G _
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MME SLA
Commission No. :..,• a RS Commission No. FF897.717
EXPIRES,hi F89Tt77. „. EXPIRES
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
11LINITIALS