HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED MAY 2 6 2036
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: W'� 5
PROPOSED IMPROVEMENT LOCATION:
Address: 7808 Miramar Ave,Fort Pierce,FL 34951
Legal Description: LAKEWOOD PARK-UNIT 3-BLK 17 LOT 8(MAP 13/14N)(OR 892-2279)
Property Tax ID#:1301-603-0008-000-4 Lot No,8
Site Plan Name: Block No.17
Project Name:Jarrette&Lisa Martin
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacement Windows est m �
CONSTRUCTION INFORMATION:
itiona wor to a er orme under this perms –c ec a apply:
OHVAC LJ Gas Tank ❑Gas Piping —Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers 1:1Generator D Roof
Total Sq. Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 5,400.00 Utilities Sewer Septic Building Height:
OWNERAE5SEE: CONTRACTOR:
Name Jarrette&Lisa Martin Name:Sam Ochstein
Address: 7808 Miramar Ave Company:Newsouth Window Solutions
City: Fort Pierce State: FL Address:2526 Okeechobee Blvd.
Zip Code: 34951 Fax: City:West Palm Beach State:FL
Phone No. 772-267-4474 Zip Code: 33409 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(a,newsouthwindow.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.
5UPPLEMENTAL CU`NSTRUCTIOR LIEN LAW.INFORMATION:
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 certifythat no work or installation has commenced prior to the issuance of a permit.
St.Lucle County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which 1s in co llct with an) appilcable Home Owners Associatlon 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
commerift work or recording our Notice of Commencement.
ZGZ_ flae;r
Sign re of Owner/Agent/Lessee Slgnature of Contractor icense older
STATE OF FL&I A STATE OF FLORIDA
COUNTY OFT , - L '�� COUNTY OFVG\M befL�
The`f�oing instrument was acknowledged before me The oing instr ment was acknowledged before me
`
this T day of m20 1�by this day of 20�1nby
arc he
(Name of person acknowledging) {Name o;Z-
(SI
owledging}
'�Zli_4L]
gn ure of Notary Public- of Flo rlda} {Signature of otary Pub c-State of Florida}
Personally Known OR Produced Identification Personally Known_�_OR Produced Identification
Type of Identification Pro Type of Identification Produced
h JOSEPH E.BROPHY
Commission No. MYc00N#FF928000 Commission No.
ExF1 ops 15,2019
KIM A.STONE
jp, E ilRES:Octobc 15,2019
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS