HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ?? ,V�l
Date: 3/1/17 Permit Number: 1 6yJ— o S h
- RECEIVE®
Building Permit Application
Planning and Development Services MAR /2 2017
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
PROPOSED IMPROVEMENT LOCATION:
Address: 906 W. 1ST STREET
Legal Description: WHITE CITY BLK 9 LOTS 22,23 AND 24
Property Tax ID#: 3404-501-0055-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: . .
REPLACE EXISTING WINDOWS WITH MI ALUMINUM NON IMPACT WINDOWS. OAS EXISTING
HURRICANE PANELS. REPLACE EXISTING FIBERGLASS DOOR WITH NEW IMPACT
FIBERGLASS DOOR IN GARAGE
CONSTRUCTION INFORMATION:
Additional work to be erformed under t ispermit—c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric Plumbing Sprinklers I Generator 11 Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 8,529.74 Utilities:In Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name ROBERT BRANTMAN Name: ROY MICHAEL JOHNSTON
Address:PO BOX 3002 Company: STUART PAINT&SUPPLY
City: FT PIERCE State:FL Address: 657 NE DIXIE HWY
Zip Code: 34948 Fax: City: JENSEN BEACH State:FL
Phone No.260-3185 Zip Code: 34957 Fax: 772 334-2705
E-Mail: Phone No. 772 334-2700
Fill in fee simple Title Holder on next page(if different E-Mail: mjohnston@thebuildersstore.net
from the Owner listed above) State or County License: cgc 1517946
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEWLAW 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 work or recording our Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agent for Owner _Signat Contractor/License Holder
STATE OF FLORIQA�� STATE OF FLORIDA �y J
COUNTY OF `ter I ( � COUNTY OF �'I"it /dig-4/0
The fo going instrument was cknowledged before me The forgoing instrument was a knowledged before me
this day of " 20 L-2by this—a day of CM e 20 /by
(Name of person acknowledging) (Name of p on acknowledging)
VQ", -JA AA_,4,y_tx
(Signature of NotaryPublic ate of r a) (Signature of Notary Public-State of Flor a
Personally Known � Pr e I f i Personally Known � OR Produced Identification
Type of Identificatiou e Type of Identification Produced
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Note P ullu 01—
Commission No. a Dianna Knight
y Comn(S621IIFF 012576 Commissn�P
OF f•o� Expires 05/21/2017 �� State of Florida
AT Dianna Knight
oFwo Expires 05/21/2017
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW 'REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS