HomeMy WebLinkAboutBuilding Permit Application ALL.APPLICABLE NFOAAUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date: `I Permit Number:
MR
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: Window/door
PROPOSEM 4
F�
Address: 8504 Citrus Park Blvd.
Legal Description: Lakewood Park-Unit 8B-Blk 3 Lot 8(Map 13/02N) (OR 11154-1066)
Property Tax ID#: 1301-610-0036-000-1 Lot No.8
Site Plan Name: Block No. 3
Project Name:
Setbacks Front Back: Right Side: Left Side:
e � _ .: -
DETAILED DESCRIPTION OF WORK
replace 6 windows size for size
C NSTRUCTI0N INFORMATION '
Additional work to e performed under t —checkispermit a t a appy:
HVAC Gas Tank ❑Gas Piping Shutters aWindows/Doors
Electric a Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 8790.00 Utilities:Sewer Septic Building Height:
OWNER/L`ESSEE k CRACTOR
_ .. ONTa
Name Tomasa Trejo Name: Boysie Ramdial
Address:8504 Citrus Park Blvd. Company: The Home Depot At Home Services
City: Fort Pierce State:FL Address: 6500 NW 12TH Ave. Suite 110
Zip Code: 34951 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: JONATHON.THOMAS@EXPEDITEPERMIT.COM
from the Owner listed above) State or County License: CRC046858
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW 1NFORM,ATION,
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 o Owner/Agent/Lessee Signatur of Contractor/License Holder
STATE OF COUNTY OFORIDA � �� ,� COUSTANTY FLORIDA
NTY OFLucj�e_
The forgoing instrument w s acknowledged before The fo going instrumen���acknowledged before me
me this�day of &V2 20 17 by this day of y
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(Name son owe =(Namerso owled i
(S' at Notary ublic-State of Florida) natur of ary P lic-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
�O ON ALLEN THOMA O THON ALLEN THO S
Commission No. R Ta Commission No. .�WY
Q o� NO�TAR PUBLIC Q o� A& ARY PUBLIC
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—STATE OF FLORIDA c STATE OF FLORIDA
Comm#FF056234W
Revised 07/15/2014 W.'ril Expires 9/18/2017 s�NCE 1g�� Expires 9/18/2017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS