HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number.- I �
o ,
Building Permit Application MV ` f"SII'
Planning and Development Services
Building and Cbde Regulation Division "Cie Coon ty, F1
23W Hlrginio Avenue,Fort Pierce Ft 34382
Phone:(772)462-1553 Fax:(772)462-1578 Commercial_ Residential
PERMIT APPLICATION FOR
.ROPOSED IMPROVEMENT'L6CATION..' , « ,.
Address: 6032 INDRIO RD#7.FORT PIERCE,FL 34951
Legal Description:
Property Tax ID#f:1313-501-0117-000-5 Lot No.
Site Plan Name: Block No.
Project Name:DAVID&DANIELLE AIEVOLI
Setbacks Front Back: Right Side: Left Side:
`:DETAILED DESCRIPTIC}N OF:VI/QRK.
,
Replacement Windows(3)
CONSTRUCTION INFORMATION: p _
ono wor o orme . underd this,perm -ccheck all J=appy: 17771
13HVAC Gas Tank Das Piping Shutters lL�Wlndows/Doors
QElectrlc 0 Il
Plumbing Sprinklers Generator ED Roof
Total Sq.Ft of Construction: So.Ft.of First Floor:
Cost of Construction:$ 5,300.00 Utilities: Sewer Septic Building Height:
`OVI/NER/LESSEE CONTRACTOR. y'
Name DAVID&DANIELLE AIEVOLI Name:
Address: 6032 INDRIO RD#7 Company:Newsouth Window Solutions
City: FORT PIERCE State: FL Address:2526 Okeechobee IBlvd.
Zip Code: 34951 Fax: City:West Palm BeachState:FL
Phone No. 609463-6704 Zip Code:33409 Fax:5614784100
E-Mail: Phone No. 561-712-9000
Fill In fee simple Title Holder on next page(if different E-Mail:westpalmbeach("?a,newsouthwindow.com
from the Owner listed above) State or County License: L o
if value of construction Is$2W0 or more,a RECORDED Notice of Commencement is required.
i
NOt A0WQft MOMWWWAM. Not App fable
Name: Name:
Address: Address• 'I .
CW. State: City: State:
Zip: Phone: Zip: Phon¢•
FEE SIMPLE MU HOMR: Not Applicable 801WG COMPANY; _Jiot Applicable 11
Name: Name-
Address, Address:
Cfty: City:
Zip: Phone: ZIp6 Phone:
1 eerftthat nowork or trmtlledon has commenced prbrto the Issuance of*permit b�
r a slidMaw
& x
ty
tD Ou RM
In awwderation of#Mgrih0nR of tbk neq permtx,I do aQse OW I will,In ell respects,perform the work
in Uidance Vft the appmed'plom ft . Buikf irk�nd St-UxJa Caunty Am*W*&ita-
Tiie folk+wir�buBdirai Pelt appikations are ex�mptirom undarpina a fuM ooncurrerroy ravfaw;room adiftdons,
accessory structures,VMmering pools,fences,wpilk Sim screen rooms and accesory uses to another nonresidential use
WA tliNG'�O OW>tI R:lfaur lure ta.Reo>>nl s IMotiot:of C�ott}tt�ledlns Mawr itJn Vourp.Ylt1gtwloa bx
improvefrlettts toyour property.A"NoXfce of Gs to k". ret rtlft ie 1�c sat,Id posted on tom:f offsite
Were the first'inspec�ian,If you intent!to ubtMn flnandft obnsulr-"> br an ittoiney bekm
comrnb�" �r retordi ' ur Notice of Corrlftlerlcement.
.01001ft 01
$Vnat m of Cont o2w/timn Holder
SIM OF
O 0!MY0 M- (.ti e. B"
"JOW
The fp n8 tnstry acimowted me The fo r4ginar pwiefted bdbm me
this day of 20 i by the day of m by
(puma person aidirlo+wfedRiM) (Name of nowieddng)
"MMM NotaryPublW of Florida T"Re OfAftrf Publoa State of Flodde)
PariOnaly Known OR Producadgt?lcatlo� Personally Known OR Produced Idendfiatbn
Type of Idendflatlon Produced a I Type of Identritatbn Produced
Gommksbn N.42$DO (Seal) Commtsslon No.FF t0D (Seal)
IM Revised 07115/201 Ass�oN�N9aEaoo6I . alabslsrrtsieoos
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