HomeMy WebLinkAboutBuilding Permit Application (2) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED,
Date: Permit Number: ,
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Building Permit Application
Planning and Development Services I
Building and Code Regulation Division
12300 Virginia Avenue,Fort Pierce FL 34982
,Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR:
Building � A'
PROPOSEDIM'PROVEMENT LOCATION r '
Address: 2614 Newport Dr Fort Pierce,FL 34982
Legal Description:
ORANGE BLOSSOM ESTATES-2ND ADDN-2ND PLAT BLK 7 LOTS 7 AND 8(0.72 AC) (611187612689;2324-2637) .l
Property Tax ID#: 2421-609-0015-000-6 ; Lot No.7
Site Plan Name: i Block No. 7
Project Name: dames Trinidad
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION.OF WORK.
Install new impact rated Garage Doors
CONSTRUCTION, INFORMATION
Additional work to be performed under tis permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters iEl /
Windows Doors
Electric 0 Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 5996 Sq. Ft.of First Floor:
Cost of Construction:$ 2062.50 Utilities: 0Sewer E]Septic � Building Height:
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OWNER/LESSEE ;CONT.RACTOR:l fly,« t . ...;
Name dames Trinidad Name:.James Cody Thomas '
Address: 2614 Newport Dr Company: Florida Retrofitsl'Inc
City: FT.Pierce State: Address: 2840 Kirbyj Circle#3
Zip Code: 34982 Fax: City: Palm Bay State:FI
Phone No.561-262-5084 Zip Code: 32905 Fax:
'E-Mail: Phone No. 877-659-18354
Fill in fee simple Title Holder on next page(if different E-Mail: info@floddaretrofits.com
from the Owner listed above) State or County License: 6-CC1330830/CBC1259135
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. h '
SUPPLEMENTAL CONSTRUCTION;LIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:James Trinidad Name:James Cody Thomas
Address:2614 Newport Dr Fort Pierce,FL 34982 Address: 2614 Newport Dr]
City: FT.Pierce State: City: Palm Bay I State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:2846 Kirby Circle#3 Address:
(City: City:
Zip: Phone: Zip: Phone:
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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.
SI.Lucie County makes no representation that is granting a permit will authorize thepermlit holderto 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 ner/Lessee/Contractor as Agent for Owner Signature of ractor/License Holder
j STATE OF FLORJQA STATE OF FLORI
COUNTY OF COUNTY OF 14f-CV
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The forgoing instru e t was acknowledged before me The forgoing instrument was acknowledged before me
this C day of A0 20/J-- t5y this--r day of 20L�by
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Name of perso making statement Name�pe son making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced i
(Signatur . • - (Signa ure of Y�..,u Ic- tate ff II d
o;Pe. :;oee. . SHARONQI�A% ENSHIP
_, SHARON LISA BLANKENSHIP := R i °
1S 'f1 MY COMMISSION FF•�g3833
COmmiSSi [Y�i t'' MY COMMISSION#9§?O B33 COmmI5510n Q:l� i(� ( 2 II.018
. n,a.a 2
EXPIRES August 24, 2018 .'?e dr=° EXPIRES August 2
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(407).398-0153 Florida NOi8 St?fVICe•COM
a07)390-0153 F1orldaN0t0ryServlCe•C0m
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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