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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED! Date: Permit Number: VO/ � ©(o0 / wag=*MM01 Building Permit Application Planning and Development Services j Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial iResidential PERMIT APPLICATION FOR: Window/door I PROPOSED IIVIPROVEMENTpLOCATION n 3+ i• Address: 5502 Paleo Pines Cir, Fort Pierce FL Legal Description: HOLIDAY PINES S/D-PHASE I-LOT 47 (MAP 13/12S)(OR 291312049) (Property Tax ID#: 1312-500-0048-000-4 i Lot No. r :Site Plan Name: Block No. i Project Name: Setbacks Front Back: Right Side: Left Side: i ,. Ok.-. IDETAILE'D DESCRIPTION I W "K"' X,11 Remove and replace garage door i ,CONSTRUCTIO`NI.N°FOR MATIOiN � Additionalworkto be a ormeunder tispermit—c ec a appy: i i HVAC 11 Gas Tank Gas Piping _Shutters i ❑Windows/Doors Electric ❑ Plumbing FISprinklers ❑Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: S . Ft. of First Floor: 2798 Cost of Construction:$. 1950.00 Utilities: Sewer Septic Building Height: i.01/1/NER/LECONTRACTOR P s , Name Ghazanfar Saeed Name:Roderick Waller Address:5201 Paleo Pines CIR , Company: Sunrise City CHDO Inc City: Fort Pierce State:FL Address: 3550 Okeechobee Rd Zip Code: 34951 Fax: City: Fort Pierce ; State:FL Phone No.772-359-3936 Zip Code: 34947 Fax: 772-907-0420 E-Mail: Phone No. 772-20142850 Fill in fee simple Title Holder on next page(if different E-Mail: rodwaller1(6gmail.com from the Owner listed above) State or County License: QGC1515114/CCC1327208 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. I i I i I SUPPLEMENTAL CONSTRUCTION LIEN LAW INF,ORMATION� = P DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Q Not Applicable Name:Ghazanfar Saeed Name: Ad d ress:5502 Paleo Pines Cir,Fort Pierce FL Address: 5201 Paleo Pines CIR, City: Fort Pierce State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: 0 Not Applicable BONDING COMPANY: allot Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: r OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work a6d 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 thepermit 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 comm.e,ncing work or r9cording your Notice of Commencement. Signature of Owner/Less a/Contractor as Agent for Owner SignAurVof Contracto /License Holder STATE OF FLORIDA � STATE OF FLORID r ^, COUNTY OF J l �f_t� COUNTY OF �I'J ;�L-►� �� The for i g instrument was acknowledge before me The forgoing instrument was acknowledged before me this�b day of ��f'I.�+Tht'K 20 by thisdayof��ihyvr,,V 20-V by Ldej4a W.0 k-irA-Ale-r- er-T,, C Name of p n making statement Name of person making statement Personally Known OR Produced Identification Personally Known OR'Produced Identification Type of Identification Type of Identification Produced •• Produced i i (Signature of No "" ^o f��► " IS (Signat re,op: dry , - HAiRt .�;: P IA AARRIS N N FF Commission No. _ �..; MY COMIt�I ®® 3 Commi '= MY COMMISSION FFP9(!$93I EXPIRES May 30,2020 vqp;:' ;EXPIRES May 30,2020 tJ8-0133 FlorittallotarySarvxe.com 40F 3900163 FloriWNotaryServxe.com (407)398-01 REVIEWS'- FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED -Rev. 8/2/17 I f