HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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 xx
PERMIT APPLICATION FOR: Window/door El
PROPOSED I;IVIPROVEMENT LOCATION .#e. s ye
Address: 5821 Starcher Ave. Ft. Pierce, FL.34947
Legal Description: Henning S/D-AN UNRECORDED PLAT IN SEC 12-35-39-LOT 2(0.85 AC)(OR 841-2937)
Property Tax ID#: 2312-801-0003-000-4 Lot No.2
Site Plan Name: Block No.
Project Name: window replacement
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OFbWORK
Remove and replace (7) windows
All windows will be Impact windows
i
CONSTRUCTION INFORMATION ` 14
-F
Additional work to be er orme under this permit—check a appy:
❑HVAC Fi Gas Tank Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 2085.00 Utilities: Sewer Septic j Building Height:
OWNER/LESSEECC+NTRACI"OR`
_ .
Na me Earl Gaines Name: Earl Gaines
Address:5821 Starcher Ave. Company: E&B Elite Services Inc.
City: Ft. Pierce State:FL Address: 5821 StarcherAve
Zip Code: 34947 Fax:(772)465-2351 City: Ft. Pierce State:FL
Phone No.(772)577-0826 Zip Code: 34947 Fax: (772)465-2351
E-Mail:ERLGAINES@COMCAST.NET Phone No. (772)577-0826
Fill in fee simple Title Holder on next page(if different E-Mail: ERLGAINES@COMCAST.NET
from the Owner listed above) State or County License: CGC 1517445
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
a F
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
J g
DESIGNER/ENGINEER: xx M Not Applicable MORTGAGE COMPANY:, xx y Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: xx Not Applicable BONDING COMPANY: xx 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 thepermit 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.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing inst ment was acknowledged before me The forgoing instrument was acknowledged before me
this N day of 20 0-by this day of 20 by
t1fa& CxxAh
(Name of person acknowledging) (Name of person acknowledging)
i
ign ture of Notary Public-StatOof Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
CO MP LETE
INITIALS