HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
JJ
RECEIVED
Building Permit Application JAIL 3 0 2097
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: Window/door
PROPOSEDIMPROVEMENT LOCATION .7
b
Address: 830 Airso Blvd Port St Lucie, FL 34987
Legal Description: River Park-Unit 6-Blk 60 Lot 3
Property Tax ID#: 3419-545-0071-000-7 Lot No.3
Site Plan Name: Block No. 60
Project Name: Munden-9794161
Setbacks Front Back: Right Side: Left Side:
replace 9 windows size for size
CONSTRUCTION IN_FORIVIATION r r
a
Additional work toe nertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 10353.00 Utilities:Sewer 0Septic Building Height:
01NNERf LESSEEC`ONTRAGTOR
'na.ne,<.
Name Frederick Munden Name: VSiC _GlM&&,N
Address:830 Airso Blvd Company: The Home Depot At Home Services
City: Port St Lucie State:FL Address: 6500 NW 12TH Ave. Suite 110
Zip Code: 34987 Fax: City: Fort Lauderdale State:FL
Phone No. Zip Code: 33309 Fax:
E=Mail: Phone No. (754)224-2010
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: 6IRGDLA�0':fSW
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN�LAIN INFORMATION:
4 3 s
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 work or recording our Notice of Commencement.
Signature of wner/Agent/Lessee Signatur of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5C. lLiE: CO. COUNTY OF �T. I,)CaF Cry
The forgoing instrument was acknowledged before The forgoing instrument was acknowledged before me
me this 2,1 day of 20 17 by this 2Z"I day of 2017 by
1
(Name of person acknowledging) (Name of person acknowledging)
nature f otary Pub ic-S too011oraida) nature oVgotary Public-St a of goricla)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.bl_763&55 (Seal)y Gennyne H Commission No. (Seal)
NOTARY P ELIC Gennyne Hrycyna
W191
STATE OF FLORIDARevised 07/15/2014 Comm#GG038055 °� -�STATE OF FLORID
CE Expires 10/12/2020 �s Comm#GG038055
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