HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB E INFQ BE COMPLETED FOR APPLICATION TO BE ACCEPTED "4+
Date: � Permit Number:
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
PROPOSEf IUI'PR®1/EIVI 'N�1
t
Address: 31 3 ��t L!'� P
Legal Description: tNpIAN f–i-gE 54 1 1"�S LOT b
Property Tax ID#: 3402 600 0'34(; 000 O Lot No. L4 L
Site Plan Name: )i-fr P%rl te—Y- Block No.4q
Project Name: WA4rx.'XG'&_
Setbacks Front Back: Right Side: Left Side:
, ' °!y Rig-*rr + t wr �. +, fi4e �""S:a^' y„ un nx
DETAILED L7ESCRIPTIOMr>C) WORK; z � ' .
REPLACE 5 WINDOWS & Q DOORS WITH IMPACT. SIZE FOR SIZE.
7 n a.tt 4Lwni7x°qtr "# ? k w s SSgS � 5 :. #x amt
�::,CONSTRU�TION I;NFCfp;��p�TI'0�� �,5�4.
- • .c .�_ ;. .�S.N.,�!! /'\.� ,'a* .r�i'�. �...t�t � N.;'�-ir�'�,.., a��"'f s<'� 3�'.�i h�; " mr 3 t
Additional work toe e orme under t Is permit-check a appy:
HVAC Ei Gas Tank ❑Gas Piping _Shutters ✓Q Windows/Doors
11 Electric 0 Plumbing Sprinklers E-1 Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ �I 1400 Utilities:0Sewer Septic Building Height:
ry..y SqT Sy 'Y h F
OWNER/LESSEEa < 3 r t ' CONTRACTORS < s� 7 # rA
i? A {
tr..f h: tet:.. . t....i r .. f,.r Z ,.�` « ..i. t}'-. 1,...idnc'"1. . r .•._ ...�, ti 9..b JF4•-t `_ c...i i h,_
Name L-i N 9A Name: WAYNETHOMAS BURNETT
Address: G311 FAUN Company: FLORIDA HOME IMPROVEMENT ASSOC.
City: V:0&-'r ?1 I;IZG& State:FL Address: 3044 SW 42ND STREET
Zip Code: 3 LIgN Z Fax: City: HOLLYWOOD State:FL
Phone No. 50 353 016t; Zip Code: 33312 Fax:
E-Mail: Phone No. 954-792-4415
Fill in fee simple Title Holder on next page(if different E-Mail: PERMITS@FHAPRODUCTS.COM
from the Owner listed above) State or County License: CGCA61890
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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�UPPLENI�ENTAL�C�®�15TI�,R,yU,CT10�N��LIEN�LA�W"�NFQ�RMA�TiQ�N
DESIGNER/ENGINEER: X_Not Applicable MORTGAGE COMPANY: X_._Not Applicable
Name: Name:
Address: Address:
City: State; City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 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
befSXe the first inspection. If you intend to obtain financing, consult with lender or an attorney before
co(mrin—encing work or recording our Notice of Comm egkcKrAnt.
U� S
Signat of Owner/Lessee/Contractor as Agent for Owner 'k"4?
o tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 6T_ LO COUNTY OF 6'f Lv Gtlr
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this NG day of Co-ACi g{ci1 20 Eby this day of QCA 20 11 by
t
WAYNE THOMAS BURNETT
(Name of person ack led ' ) (Name of person acknowledging)
QAJvA""
(Signati of Notary Public-State of Florida) (Signatu of Notary Public- tate of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification ProducecL JTpe of Identification Produced
G6 dt Public State of FioridCommission No. f '9y Sc =,Pub ic Almeidamission No.
scoyc < MyCommissionGG139459 a+°�Y" JANETTE L LUNN
~? d; Expires 08/29/2021
5
Revised 07/15/2014 ",oF�;o ' EXPIRES August 07,202
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS