HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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 X
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 2406 OAK DRIVE FORT PIERCE, FL 34949
Legal Description: REV PL OF FORT PIERCE SHORES - UNIT 5 - BLK 4 LOT 6A(OR 3933-1488)
Property Tax ID#: 1436-602-0001-000-7 Lot No.6A
Site Plan Name: Block No. 4
Project Name:
Setbacks Front i','t Back: - /,ry Right Side: ti!/,- Left Side:
[DETAILED�DEESC�RIPTI�ONO�FWO�RK:
WINDOW AND SLIDING GLASS DOOR REPLACEMENTL
CONSTRUCTION INFORMATION:
Additional worK to be performe un er t is permit–c ec ajal appy:
❑HVAC Gas Tank []Gas Piping Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers E] Generator _ Roof Roof pitch
Total Sq. Ft of Construction: Scl. Ft. of First Floor:
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Cost of Construction: $ zelzm Utilities: D_Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name SRFMO LLC Name: GARY WHIGHAM
Address:2110 OAK DRIVE Company: SOUTH FLORIDA ALUMINUM PRODUCTS
City: FORT PIERCE State:FL Address: 4807 SOUTH US HWY 1
Zip Code: 34949 Fax: City: FORT PIERCE State: FL
Phone No.772-519-1814 Zip Code: 34949 Fax: 772-466-1074
E-Mail: Phone No. 772-466-0913
Fill in fee simple Title Holder on next page ( if different E-Mail: SFAPBOOKS@SOFLALUM.COM
from the Owner listed above) State or County License: CRC1330712
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
11
SUPPLEMENTAL.CONSTRUCTION LIEN '!_AW INFORMATIQN:
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 ins n. If you intend to obtain financing, consult with IendeX4w-Jff5ttprney before
commens.aig r or rec rcling your Notice of Commencement.
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Signature of Owner/Lessee/Contractor as gent for Owner Sign or/License Holder
STATE OF FLO A STATE OF FLORIDA
COUNTY OF L ttL: COUNTY OF����'.
The fo g instr ment wa acknowledged before me The for�ling instrument was acknowledged before me
this�day of VKW t4v 20 Dby this L� ��ay of �u" 20 i2 by
(Name of person acknowl ging) (Name of pe sonackn wledg )
A':
(Si nature of otaryPubl�ic-State of Florida ) (Signature f N tart'Public-State of Florida)
Personally K awn L/OR Produced Identification Personally Known OR Produced Identification
Type of Id nZType of Identificat'NN MATONIV
•- My COMMISSION u F 8 °�:: (NARY AN!e7�Commissi n, r( a� Commission No. •:
!� nuary 24.2420 MMISSEXPIRES Jan
n;:,•rSnrvx:c::pr
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS