HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED M
Date: Permit Number: - U
Building Permit Application RECEIVED
Planning and Development Services AUG 2 9 2017
Building and Code Regulation Division
7300 l4rginla Avenue,Fort Pierce FL 34982 PERMITTING FL
Phone:(772)462-1553 Fax: (772)462-1578 Commercial ResidenRa4"O ounty,
PERMIT APPLICATION FOR: Shil r kll �oWS•
PR�P�OSED IM,P�R0�1/EM�ENT LOCA�TIaN:
Address: 6406 Doris Drive Fort Pierce,FL 34951
Legal Description:LAKEWOOD PARK-UNIT 8-B-BLK 5 LOTS 18 AN 19(0.57 AC-34,680 SF)(MAP 13/02N) (OR 1282-1340,2174:3548-2964)
Property Tax ID#:1301-610-0089-000-7 Lot No.
Site Plan Name: Block No.
Project Name:Joyce Hadley
Setbacks Front Back: RlghtSide: Left Side:
DETAILED DESCRIPTION OF W®RK: �: ssya
Replace Xwindows.
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CONSTRUC�TIaN INFORMATION: r �� ;�. s_, �Additional wor to orme under ts permit— ec a appy:
I]HVAC ElGasTank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ lyely.�cX� Utilities. Sewer Septic Building Height:
'�OWNEFt%LESSEE` ` CONTRACTOR
Name Joyce Hadley Name:Toby Tokes
Address: 6406 Doris Drive Company:Armorvue Window&Door .
City: Fort Pierce State: FL Address:1000 Clint Moore Rd Ste 109
Zip Code: 34951 Fax: City:Boca Raton State:FL
Phone No. 772-528-6273 Zip Code: 33487 Fax:
E-Mail: Phone No. 561-9884222
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:CRC1330842
If value of construction is$2900 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW 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 Count�yr makes no repre entation that is granting a permit will authorize the permit holder to build the subject stry�ture
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 acoessory 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.
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Signatu of OYJKerl Agent/L see Signatu of Contra or/ cense Holder
STATE OF FLOM �e� STATE OF FLO DA
COUNTY OF YI(lrl c:i/I COUNTY OF A/m
The fiI going instr ment was acknowledged before me The fo oing instrument was cknowledged before me
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this 6 day of 2Q-IA-by this ja_day of us� 2&= by
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Jo a IF 7vrC'�LI 7MP.15:5
{Name person acknowl } (Name of p son acknowle 'ng)
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(Sloplatureof Notary Public-State of Florida) =nally
ure of Notary Pubric-State of Florida}
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ersonally Known OR Prod y ed Id ratification � Known v oR Procluced.lderrt fc
Type of Identification Produced-.. I'i. �A L' Type of identification Produced."° 0
Commission No. ( I Commission No. `` �` No�cvpelFF o5
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