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Home My WebLink AboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED G Date: Permit Number: RECEI Building Permit Application MAR 2 6 203 Planning and Development Services Building and Code Regulation Division Permitting Depa;tYi ent 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Rdad&lpcie County FIL PERMIT APPLICATION FOR: Window/door PROPOSED IMPROVEMENT LOCATION: Address: S�t� Sq�n 1�leao �P, Legal Description:[}4yf'Amt, f iQ% S w CQ( Qy-LaT'g 51k ik rvT% r ISLIFr 'Fweh L f ur VN i3s i Y, h C 4' Ft 11* 1S CT T'I+w 6bo..(%I +0 f 1b kpo4 c1_pF iaW Wr- A s K F`T a$L0171" 'Property Tax ID#r-: ��}�� -101-00(1^ �Qp.*-Z. Lot No. MR Site Plan Name:Wev�y �,)�Rt�-�� .r. Block No. A- Project Name: a''`le-k b l0\( S Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: REPLACE WINDOWS & DOORS WITH IMPACT. SIZE FOR SIZE. CONSTRUCTION INFORMATION: Additional work to be performed under this permit-c eck all that appy: aHVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors Electric ❑ Plumbing 11 Sprinklers FIGenerator E] Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ Utilities:cnSewer Septic Building Height: OWNERAESSEE; CONTRACTOR: Name�, : y \ �Gt_ Name: WAYNE THOMAS BURNETT Address: C Company: FLORIDA HOME IMPROVEMENT ASSOC. City:-lyp ('C2. State:FL Address: 3044 SW 42ND STREET Zip Code: Fax: City: HOLLYWOOD State:FL Phone No. Zip Code: 33312 Fax: E-Mail: Phone No. 954-792-4415 Fill in fee simple Title Holder on next page (if different E-Mail: PERMITS@FHAPRODUCTS.COM from the Owner listed above) State or County License: CSC#061890 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: X Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 commepcing work or recording our Notice of Commencement. S Signature of Owner/Lessee/Contractor as Agent for Owner Si a u C tractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF SAINT t_ucty COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this M3- day of M&ZCA+- 20 18 by this j-7 day of WO 20 tY by 22�/ '4 '�5 C/d WAYNE THOMAS BURNETT (Name of per ac<n g) (Name of person acknowledging) (Signature of Notary Public-State of Florida) L(Iia re of Notary Public ate of Florida.Personally Known OR Produced Identification lly Known OR Produced Identification Type of Identification Produced Identification Produced M}tYP6a Nota tate of Florida Commission No. ;o��"'•°`•••• MIGUF#9d%ll)AERCAD0 Commission No. c ry�s Franci co Almeida •e MY COMMISSION#GG095745 t 4 Q My Commission GG 139459 :y; „ • ` EXPIRPA April 19,2021 Expires 0802/209 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Florida Home Improvement Associates Broword Tel:954-792-4415 Ucsnse No.CGC 051!901 Q844815 Miami Dade Tel:305.545.4469 3044 SW 42nd st.,Ft.Lauderdale,FL 33312 FLORIDA Fax:954.792.2170 HOME Web:FHAPRODUCTS.COM n IMPROVEMENT Jot) ��A�Q �L ASSOCIATES Email:INFO@FHAPRODUCTS.COM Re acement Windows Cogtract T9/ ,Ly,I,) ,eU1cC r Cyd ) Name: Home Phon(' ' L '�4 7 Bus,Phone: '72 �iFJ� 70Z Address City ry��', State ZIP tract is made and entered into this�day of j . QV.P"y and between Florida Home-Improvement Assoclates,Inc, ECEIVEJEX"co: corporation('Contractor'or'FHA'),and owners)named above of the residence located at the address listed above("Owner). Contractor agrees to perform the work described below: 1) emove existing units to be replaced.(NOTE:Removed Items are likely to be damaged.) Oare viewed from the Inside. OnnDirections iding glass door Active and Flied MAR 2 6 2) repare openings aaecessaryto receive replacement units. Panels an Identified. On casements 2 0 1$ 3) NDOWS: ✓FHA Energy Storm Saver_Simonton Vinyl Insulated and single French doors the hinge Is Identified Right Hinge and Left'Hinge. nstall_Aluminum Insulated,_Aluminum Non-Insulated On Double-French Doors the more 'm i tt i n g D e p a rtm a ni rs: Energy Storm Severactive door Is Identified_WuminuaNnsala d, 111uminum Non-Insulated t. Lucie County, mpo ) Nbfil4mpoct.- adr.,.Whfte: Tan: Brorsce: Grey: MIIIFInIsh: Doubk Hum Slnafe Huna 2-LR eosement, Picture Window Oft-, Yes( )No . Standard_ Qty Qty qty Qty(/J qty Qtv_(%J Custom 777�� T— � ACENE FIXED FA AF NLH nRH O Single French Doors Doubie french Doors Geomehic AA ;Y-0 F FA FAAF AAF FAA RH( ) LH(-.- ) RA( ) LA( o/ Qty Qty Qty Qty Qty Qty-94tY/`nom- Glass: Zj41�%< 1A1"A7C1-- /-0 � INITIAL HERE 3 d A2r a� Warranty: Manufacturer's Warranty sent up n compel"-Mon. 5) Work NOT to be replaced: L N�� /� 8.i1 INITIAL HERE lib' ' C � 6) If applicable,removingshutterpanels,and/or securitybars, r.eu ?o INITIAL FI R 412, 11, Special instructions: G A1C 8) Cleanup Job debris and provide necessary peimlts and insurance., . 9) If applicable,In the event,that Contractorls unable for-whatever reason to obtain proper permits prior to commencement of any work, Contractar shall refund any previous payment and this transaction shall be automatically.cancelled.. (No finish work other than normal installation is to be done unless noted below:) , �U Additional Work- Schedule: ork Schedule:Contractor shall commence the work within j days after execution of the Contract(the"Commencement Date')and shall endeavor to complete all Work hereunder within,LOdays after the Commencement Date. Contract Price The TOTAL PRICE for all Labor and Materials(Including any applicable discount)is Sales Tax I-- Down Payment $ (If applicable) 'U� Balance Payable `S Total Contract Price $ 7SCS Contractor will provide to Owner a Final Waiver and Release of Lien and Contractor s Final Affidavit to Owner,substantially similar to the forms Included In chaoter 713 Florida Statues f2DOSl. cz./ oncorNO]Owner elects to apply for financing of the above-statue lump sum amount.If yes is circled,see financing agreement andrelat. documents Notre to the"Owrrr,Hflnandng Is being obtained by owner a):Doom sign this home Improvement contract(Including financing documents)In blank. lob You am entitled to a copy of the contract at the time you sign.Keep It to protect your legal rights. c).The financial documents attached to this home Improvement contract may contain a mortgage or otherwise create a lien on your property that could be foreclosed on uyoudi not pay.Se sure you understand all provisions of thecontract and financial documents before you sign. M lkneou� il :,Thls contract contains the entlre contract of the partles,it may not be changed orally but only by a signed change order or other written amendment.The waiver by any party of a breach of any provision of this contract shall not operate or be construed as a waiver of any subsequent breach by any party. IN WITNESS WHEREOF,the Parties hereto have executed this contract,under seal,as of the day and year first above written. You the Buyer may cancel this transaction at any time prior to midnlght on the third business day after the date of this transaction. Sae the sd notiof c�aancellation m for an explanation of this right. Owner: 499, 0. c9G� N Contractor.F By: (Slgnatur Owner) (Name& i e) • ,may LN,C �— 6 ( &nature of Owner) Date Home Owners Association ome: Phoned: �fES- � Building Name: - � _