HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �t
Date: 11T� �1 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.......
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line �J h�►OtJS
PROPOSED IMPROVEMENT LOCATION:
Address: 2402 Blossom Ct.
Legal Description: Orange Blossom Estates-2nd Addn-2nd Plat Blk 5 Lot 8
Property Tax ID#: 2421-609-0009-000-1 Lot No.8
Site Plan Name: Block No. 5
Project Name: Philip- 10497880
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
replace 14 windows and 1 door size for size
CONSTRUCTION 'INFORMATION;
Additional work to be erformed under t is permit—check all appy:
HVAC Gas Tank []Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 22122.00 Utilities:In Sewer 1:1 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Tony Philip Name: Raquel Swanner
Address:2402 Blossom Ct. Company: The Home Depot
City: Fort Pierce State:FL Address: 6500 NW 12TH Ave. Suite 110
Zip Code: 34982 Fax: City: Fort Lauderdale State:FL
Phone No. Zip Code: 33309 Fax:
E-Mail: Phone No. (754)224-2010
Fill in fee simple Title Holder on next page (if different E-Mail:
from the Owner listed above) State or County License: CGC1514813
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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 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 inspection. If you intend to obtain financi It with lender or ttorney before
co encln work or rec our N2tj&e of Com cement.
t•
Signature o n g Les4ee Signature4f Cont ctor/License Holder
STAT VFLIRIDA STATE OF FLORIDA
COU OF COUNTY OF
The forgoing instrument was acknowledged before The f bgoing instrumenA was acknowledged before me
me this 40 day of A&V 20 17 by this day of o✓ ,20_17 by
5600.h wl 12 Q.1 W'e'( 94'�h.-�t
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. <, �(SeaL)OTHYR.O'MALLEY mission No. 't"�:`;" (SeaJOTHY R.O'MALLEY
MY COMMISSION#GG 117131
MY COMMISSION#GG 117135
c P ES:August 7,2021August
Bondad Thru Notary Public n er i _ F f°•' Bonded Thru Notary Public Underwriters
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
ID Lt 9-7135`0