HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED —1
Date: 01-02-2018 Permit Number:
DECEIVED
Building Permit Applicatio
Planning and Development Services SAN 1 0 2018
Building and Code Regulation Division ST. Lucie County, Perm(ttfn
2300 Virginia Avenue, Fort Pierce FL 34982 g
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description. Lakewood Park-Unit 8-Blk 96 Lots 7 and 8(map 13/02N))or 4028-719)
Property Tax ID#: 1301-608-0215-000-3 Lot No.7&8
Site Plan Name: Lakewood Park-Unit 8 Block No. 96
Project Name: Little Light Christian Academy
Setbacks Front 40' Back: 40' Right Side: 32' Left Side: 20'
LDETAILED DESCRIPTION OF WORK:
Remove and replace all windows and doors with impact resistant product
CONSTRUCTION INFORMATION:
Additional work to be nerformed under t ispermit—check all tb,11 appy:
HVAC Gas Tank ❑Gas Piping _Shutters ✓�Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers E]Generator Roof Roof pitch
Total Sq. Ft of Construction: 2500 1
S . Ft. of First Floor: 2500
Cost of Construction:$ 15,500.00 Utilities: Sewer Septic Building Height: 14'
OWN ER/LESSEE: CONTRACTOR:
NameSandra C.Yong-Duffy Name: Dennis Duffy
Address:9505 Listow terrace Company: New Line Construction Inc
City: Boynton Beach State:FL Address: 9505 Listow terrace
Zip Code: 33472 Fax:888-600-4360 City: Boynton Beach State:FL
Phone No.954 816-6522 Zip Code: 33472 Fax: 888-600-4360
E-Mail:sandracyong@comcast.net Phone No. 954648-0955
Fill in fee simple Title Holder on next page(if different E-Mail: dwduffy55@gmail.com
from the Owner listed above) State or County License: #30332 County
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:.sr- Ov Name:v&"rmv�
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:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 intendto obtain financing, consult with lender or an attorne before
cing work or recording our Atice of Commencement.
Signature of Owner/Lessee/Co or as Agent for Owner Signature of Contractor/Lice Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF "C k`--- COUNTY OF "C.r`
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1 CJ day of "1'A vnn�� 20_LS�by this_Loday of0�by
Name of person making s atement Name of person making statement \�
Personally Known OR Produced Identification Personally Known OR Produced Identification J�
Type of Identification Type of Identification
Produced ��� I ���1� /I/// ProducedkA E.
NE A
�5 •�jpTAgy.9�'O�i `�05-Ile 01
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(Signature o Notary Public-StaTi o d Yid �' (Signature of Notary Public-State ofzorid lmy Comm.Expires
mm.Expires; = dune 13,2020
n Q
Commission No. -`Rr gc� 13,2020 Commission No. N(+je .FF 991988
N NOpf�991988
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REVIEWS FRONT ZOAI S6 OWR PLANS VEGETATION SEA TURTLE// /" fo
COUNTER REVIEW//lI1100VIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17