HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ^/y/1 7 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division y
2300 Virginia Avenue, Fort Pierce FL 34982 /
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial Residential t/
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 5906 Foxtail Way, Fort Pierce, FL 34982
Legal Description: PALM GROVE S/D BLK I LOT 10 (0.12 AC) (OR 3324-2196: 3732-1152, 1154: 3733-596)
Property Tax ID #: 3410-503-0251 -000-6
Site Plan Name:
Project Name:
Setbacks Front Back:
Lot No. ^0
Block No. '
. Right Side:Left Side:
DETAILED DESCRIPTION OF WORK
Siaih
Replace 1" X 6" jambs with 2" X 6" jambs. Replace overhead garage door (like for like) Into newly
Installed wood jambs.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all
^ HVAC Gas Tank Gas Piping
^ Electric Plumbing Sprinklers
I apply:
I Shutters
I Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 1344.00 ytjUti
OWNER/LESSEE:
Name Sharon L Lindgren (LF EST)
Address: 5906 Foxtail Way. i
City:'Fort Pierce , ; State: ^
Zip Code: 54982 Pax; ^
Phone No. 772-237-7888
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
So. Ft. of First Floor:
ilities: I Spwpr □ SelitiesSeptic Building Height:.
CONTRACTOR
► J. Name:. Kevin R,.Maty]as2;pk
Company: Excelsior Construction & Roofing
Address: 1882 SE Crowbertiy Drive
. City: PortSt. Lucie . ! state: FL
Zip Code: 34983 pax; 772-618-6660
Phone No. ^^3-418-8809
E-Mail: kevln@excelsiorconstruction.net
State or County License: CGC1521911
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name;
Address:
City:
Zip: Phone: _
FEE SIMPLE TITLE HOLDER:
Name:
Address: I
City:
Zip: Phone: _
/Not Applicable
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
State:
j/Not Applicable
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, 1 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 appiications 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 your Notice of Commencement.
Signature of Owrfef/Les^e/Contractor as Agent for Owner
STATE OF FLORIDA^ ,
COUNTY OF 64. Luc/e
(Signature of NotaryPublie^ State of Florida
Commission No=
Personally Known y OR Produced Identification _
Type of Identification Produced
._£F3M7i^y&j a!) LYNNA.SWAHTZEL
MY COMMISSION #FF 9351
EXPIRES: January 30,20:
Revised 07/1^/2014
Signature of Contra icenseflolder
STATE OF FLORIDA
COUNTY OF
The foreoing instrument was acknowledged before me
this day of D r/joS Tiy . 20 ("7 by
Bondsd Thru Notary PuUc Undtrvritera
REVIEWS
DATE
COMPLETE
FRONT ZONING
COUNTER REVIEW
SUPERVISOR PLANS
REVIEW REVIEW
VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW