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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10-25-16 Permit Number:
RECEI' --� OC 1fl16
•
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 X
PERMIT APPLICATION FOR: Window/door
PRO;POS'ED MP'ROVEMENT LOCATION:
Address: 9623 Enclave Circle Port Saint Lucie FL, 34982
Legal Description: ENCLAVE AT THE RESERVE LOT 15 (OR 3917-2509)
Property Tax ID#: 3322-800-0018-000-3 Lot No.15
Site Plan Name: 9623 ENCLAVE CIRCLE Block No.
Project Name: DOMESEK, JAMES
Setbacks Front Back: Right Side: Left Side:
DETA!LED DESCRIPTION OF WORK
REPLACE 36 WINDOWS AND 6 DOORS (IMPACT)
CONSTRUCTlQN lJNFORMATI0N
Additional work to a er orme under this permit—check a is
p y:
❑HVAC EiGasTank Gas Piping utters Q Windows/Doors
i
❑Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1,230 S . Ft. of First Floor: 5,283
Cost of Construction:$ 74,000 Utilities:cn Sewer Septic Building Height: 20
OWyNER%I-ESSEyE CONTRACTOR:
NameJAMES DOMESEK Name: CHRIS LUTHER
Address:9623 ENCLAVE CIRCLE Company: LATITUDE WINDOWS
City: PORT SAINT LUCIE State:_ Address: 4830 NE 10 AVE
Zip Code: 34982 Fax:NA City: OAKLAND PARK State:FL
Phone No.954-540-5410 Zip Code: 33334 Fax: NA
E-Mail:JDOMESEK@EARTHLINK.NET Phone No. 954-451-4501
Fill in fee simple Title Holder on next page(if different E-Mail: NICK@LATITUDEWINDOWS.COM
from the Owner listed above) State or County License: SCC131151654
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL 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.
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 work4or recording our Notice of Commencement.
s
Signa ure of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 'Pe2+ S-� Lt-r eg COUNTY OFBROWARD
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this J1C day of oc..+aWAr. 20 16—by this 25 day of-OCTOBER 20 by
06.144i5 CHRIS LUTHER
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- a of orida) (Signature of Notary Public- e of lorida )
Personally Known OR Produced Identification Personally Known x Produced Identification
Type of Identification Produced Type of Identification Produced
9.�i�� _ ick Turionis .z�u.ar��,, c Nick Turionis
Commission No. ,� `r'- Commission No. "� Seal
=,c _ CO ISSION FF2i4116 _ COMMISSION#FF21A716
EXPIRES:March 29,2919
EXPIRES.M
arch 29,2019
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS