HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:3 �� `� _ Permit Number: 1`e D o 'S-0S,rD
FnMAR
EIVED
Building Permit Applicati19 N118
Planningand Development ServicesBuilding and Code Regulation Division unty, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial _ Residential x
PERMIT APPLICATION FOR: Windowtdoor El
PROPOSED IMPROVEMENT LOCATION:
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)(OR 1879-2689; 2324-2637)
Property Tax ID#: 2421-609-0015-000-6 Lot No.7
Site Plan Name: Block No. 7
Project Name: James Trinidad
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install new impact rated exterior door
zt—slonal
TRUCTION INFORMATION:
work to be nerformed under this permit–check all that appy:
HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers Generator L1 Roof Roof pitch
Total Sq. Ft of Construction: 5996 S . Ft. First Floor:
Ft.
Cost of Construction: $ 14,411.80 Utilities: Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name James Trinidad Name: James Cody Thomas
Address: 2614 Newport or Company: Florida Retrofits, Inc
City: FT. Pierce State:Fl_ Address: 2840 Kirby Circle#3
Zip Code: 34982 Fax: City: Palm Bay _State:FI
Phone No.561-262-5084 Zip Code: 32905 Fax:_
E-Mail: Phone No. 877-659-8354
Fill in fee simple Title Holder on next page( if different E-Mail: info@floridaretrofits.com
from the Owner listed above) State or County License: CCC1 330830/CBC1 259135
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: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 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.
Signa re of Owner/Lessee/Contractor as Agent for Owner Signatur Contractor/Licens/e Holder
STATE OF FLORF,BA STATE OF FLORIDA /
COUNTY OF JS Cc✓C'J COUNTY OF 13t e-✓ccc✓✓✓
The forgoing instrument was acknowledged before me The forgoing instruTent was acknowledged before me
this L day ofiG1 201�y this 1 day of�•6 2dr- by
/ '�-s � �o� l�• _�1 f M fes/
Name of person making statement Name of p rson making statement
Personally Known' OR Produced Identification Personally KnoVo--J OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Nota Pr� tt��f84rL�BLANKENSHIP (Signal a of Notaryof Flulidd
�:; SHARON LISA BLANKENSHIP
Commission No. �= MY COM LSSIpN#FF153833 ,�
wail Commission No. �•'. MY COM1�9i9)0N #FF153833
•'Fora
EXPIRE August 24, 2018 °,.
(407)398-0153 Florldallota Service corn
', oF��a!„` EXPIRES August 24,2018
(407)068.0160 Florldallotn sr?NICtl COT
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17