HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 oL Permit Number: MS-6511
RECER"7D MAY 241017
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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATIONh
Address: 9885 S INDIAN RIVER DR, FORT PIERCE , FL 34982
Legal Description: 29 36 41 FROM NW COR. SEC,TH S000 00 03 W ALG LI OF SEC 734.66 FT TH 89 59 57 E257
Property Tax ID#: 3529-223-0002-200-4 Lot No.
Site Plan Name: CRADY Block No.
Project Name: CRADY
Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A
DETAILED DESCRIPTION rJF WORK{ F
REPLACE 2 SLIDING GLASS DOORS WITH EXISITING SHUTTERS
s� E
CNSTRUCTIQN''W`FORNIATION
a ..
Additional work to e e orme under this permit—check a appy:
11HVAC Gas Tank []Gas Piping _Shutters Windows/Doors
11 Electric ❑Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 4345.00 Utilities: Sewer E]Septic Building Height:
O,U4lNER/LESS..EE CONTRACTOR
Name CRADY,MORRIS Name: MICHAEL GOODWIN
Address:9885 S INDIAN RIVER DR Company: JENSEN BEACH ALUMINUM
City: FORT PIERCE State:FL Address: 1720 NW FEDERAL HWY
Zip Code: 34982 Fax: City: STUART State:FL
Phone No.260-9551 Zip Code: 34994 Fax: 692-9744
E-Mail: Phone No. 692-0090
Fill in fee simple Title Holder on next page(if different E-Mail: MICHAELLGOODWIN@YAHOO.COM
from the Owner listed above) State or County License: CGC 1508437
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL Ca'NSTRUCTIQN LIEN LAIN 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 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,wal ,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your f 'I o cord a Notice of Commencement pay?result in your ying twice for
improveme t your op t tice of Commencement must be 7e57?er
and pos d on the jobsite
before t first n ec on f o i en to obtain financing, consult itor n t e before
comm cin o e r I our otice of Commencement.
r s
Signature 'Owner/L see/ ontractor as Agent for er itractdr/060nst,Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF %
�(�� COUNTY OF
The forgoi g instrument was acknowledged before me The forgoing instrument was acknowledged before me
this/ of 20/7by this Ly of 20/_by
(Name of person acknowledging) (Name of person acknowledging)
(Signa otary Pub ic-State o lorida) (Signature otary Public-S e of Florida_)
Personally Known --'OR Produced Identification Personally Known �/OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. � A Commission No. (Seal)
ANN M.GAUMOND
��Y•'�% ANN M.GAUMOND
*: :r MY COMMISSION#FF 173907 ,=e• �.,
• ecem er = -
MY MMISSIONWFF 173907
Bonded Thru Notary Public Underwriters = . _o EXPIRES:December 7 2018
Revised 07/15/ f"" %p� Bonded Thru Notary PublicUndervriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS