HomeMy WebLinkAboutBuilding Permit Application ALL APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: .0,. Permit Number: lSL
5 'J _ RECD 111E
Building Permit Application SEP 0 0 209
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential 4
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION':
Address: 18 LAKE VISTA-TRAIL-APT. 1.01-, PORT ST. LUCIE-FL-34952 - - -
Legal Description. VISTA ST LUCIE BLDG 18 UNIT 101 (OR 3707-405)
Property Tax ID#: 3422-500-0239-000-4 Lot No.
Site Plan Name: Block No.
Project Name: ROBERTO DELGADO
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION'OE WORK:'-
aP I ZGO !mac Y`Pa 4✓f w I T (NY) �C.`� �/��n o��S
CONSTRUCTION INFORMATION:
Additional work to be nprtormed under this permit-check all t=appy:
OHVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers 1:1 Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 6950.00 Utilities:n Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name ROBERTO DELGADO Name: SCOTT BERMAN
Address:18 LAKE VISTA TRAIL APT. 101 Company: FLORIDA WINDOW AND DOOR
City: PORT ST.LUCIE State:FL Address: 7108 FAIRWAY DR#120
Zip Code: 34952 Fax: City: PALM BEACH GARDENS State:FL
Phone No.772-924-1635 Zip Code: 33418 Fax: 561-624-8037
E-MaP-f:D.g P, 4 O Z- �"� A Phone No. 561-340-4300
Fill in fee simple Title Holder on next page(if differe t E-Mail: HOWARD@FLORIDAWINDOWANDDOOR.COM
from the Owner listed above) State or County License: CGC1509450
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
'SU'PPLEMENTAL CONSTRUCTION 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 certify that no work or installation has commenced prior to the issuance of a permit.
— - --
--SL.--Lucie-county-makes-no-representation-that is granting a-permit=will-authorize the-permit holder_to-build_thesubject-str_ucture._,
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.
S
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA . STATE OF FLORIDA
COUNTY OF S T; L 0C LF_ COUNTY OF PALM BEACH
The forgoing instr ment was acknowledged before me The for oing instr ent was acknowledged before me
this day of - • 20 I L.-by this day of v 2014 by
ROBERTO DELGADO SCOTT BERMAN
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) Signature of Not6ry Public-State of
Personally Known OR Prod4ced Identification l/ Personally Known x OR Produced Identification
Type of Identification Produced eL.b1, Type of Identification Produced
mot
"::••.e% HOWARDSIPriKOFF
Commission No. Commission No.FE .7r *(Sas)OMISSION#EE 830795
S7E< ANOE:MOJ}:- EXPIRES:August 27,2016
Notary Public State of Florida �jATFOF ��� Bonded Thm Budget Notary Services
Revised 07/15/ 4�0F�`d`'r My Comm.Expires Jan 20,2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
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