HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUNTY
F L O R 1 D A
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
PROPOSED IMPROVEMENT LOCATION:
Address: 7502 Ft. Walton Ave Fort Pierce. FI 34951
I Peal DPscrintion:
LAKEWOOD PARK -UNIT 6- BLK 67-A LOTS 8 AND 9 (MAP 13/02S) (OR 3431-1640)
Property Tax ID #: 1301-606-0207-000-8
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Replace Exterior Side Door with Impact Rated Door F14904 -R8
Replace 2 Broken Windows FI -14462
Lot No. 8 & 9
Block No. 67
CONSTRUCTION INFORMATION:
Additional work to be oerformed under this permit — check all appy:
HVAC Gas Tank 7Gas Piping _ Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator E]Roof 5/12 Roof pitch
Total Sq. Ft of Construction: 1448
Cost of Construction: $ 2197.00
ScFt. of First Floor:
Utilities: Sewer E Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Julisa Luna
Name: James Cody Thomas
Address: 7502 Ft. Walton Ave
Company: Florida Retrofits., Inc.
City: Ft. Pierce State: FI
Zip Code: 34951 Fax:
Phone No. 772-801-5685
Address: 2840 Kirby Circle #3
City: Palm Bay State: FI
Zip Code: 32905 Fax:
Phone No. 877-659-8354
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: info@floridaretrofits.com
State or County License: CCC1330830/CBC1259135
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: Julisa Luna
Name: James Cody Thomas
Address: 7502 Fort Walton Ave
Address: 7502 Fort Walton Ave Fort Pierce, Ff 34951
City: Ft Pierce State:
City: Palm Bay State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: 2840 Kirby Circle #3
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 intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Ow r/ Lessee/Contractor as Agent for Owner Signature/Contractor/License Holder
STATE OF FLORIDAj� STATE OF FLO A
COUNTY OF 17r-, � / COUNTY OF T' <<)
The forgoing instr ment was acknowledged before me
thisLZ day of��� 20M by
Name of pe son making statement
Personally Known_ OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of
The forgoing instrument was acknowledged before me
this 1-7 day of_ J —1 20L by
Name of per on making stateme t
Personally Kno�_ OR Produced Identification
Type of Identification
Produced
urdof Nota
SHARON 4% LANKENSHIP
Commission No.
Commission No. X63
• My COMMISSI 'N #FF15
ust 24, 2018
_. EXPIRES Aug
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Olt, c .... �-.rP rOM
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
SHARON LISA BLANKENSHIP
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�F•COMMISS`Y ``53833
-mope` EXPIRES August 24, 2018
___,.. ., Ginr�rfatJotary Serv!;e.coT'
SUPERVISORPLANS VEGETATION I SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW