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Home My WebLink AboutBuilding Permit Application C_ Z)oc__57 �_p ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: .[.�' �� Permit Number: I LIVEDBuilding Permit Application 9 2018Planning and Development ServicesBuilding and Code Regulation Division ty permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1SS3 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Window oor PROPOSED IMPROVEMENT LOCATION: Address: 2-50 � hl�i+,ni 7r Legal Description: Coto\ �OVe �Quk S�C��L?n Ong t3LK 3 L-9 Property Tax ID#: 0'2S —701— 00 $1 — 00 Lot No. Site Plan Name: moo (e— Block No. Project Name: 30!1 (S /Ac10 (e I Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: REPLACE WINDOWS & DOORS WITH IMPACT. SIZE FOR SIZE. CONSTRUCTION INFORMATION: Additional work toe er orme under this permit—check a apply: HVAC 11 Gas Tank F]Gas Piping _Shutters 2 Windows/Doors 11 Electric ❑ Plumbing Sprinklers E]Generator 0 Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ � \,�. Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: WAYNE THOMAS BURNETT Address: �► M �� Company: FLORIDA HOME IMPROVEMENT ASSOC. City: r��i2t'c,e- State:FL Address: 3044 SW 42ND STREET Zip Code: 3`'�°t y 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: CGC#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 commencing work or recording our Notice of Commencement. s Signature 6VIC r/L ssee/Contractor as Agent for Owner Sign ture of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 5A f4T Lvc.AE COUNTY OF The forgoing instrument was acknowledged before me Theforgoing instrumen was acknowledged before me this�day of t Ae�� 20 t8 by this i7 day of e-1/0"t 120 by ('Jo y 0 0 v WAYNE THOMAS BURNETT (Name of person in (Name of person ac k wledging) (Signature of Notary Public-State of Florida ) (Signatu otary P�ubl�Staf FloridaPersonally Known OR Produced Identification Person ly Known (/ uced Identification Type of Identification Produce Type of I tion Produced blic State Of Commission No. ° �4 Fra� jACO j4 Almedalorida Commission No. al : My Commission GG 139459 ►� .: MIGUEL A MERCADO sir Expires 08/29/2021 +' 9 745 EXPIRES AprN 19,2021 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS f4A► Droward Tal:954.7924415 Florida Home Impms�rttanl Auodatea Uconse No.CGC 041001 Q044al a Miami Dade Tel:305-645-4469 3044$\Y alnd St,Ft Lau dentate,FL 33111 notusa Fax:051-102.2170 Fiona t'_ � n�� IMrnovcM[Nt Web:FHAPRODUCTS.COM Jobfr '1 C x Assocsans Email:INFO®FHAPRODUCTS.COM � Re pp acern n Indows Contract !�)C1V, l 'ill Name lr��1i))l,Ji� 1{ii% ��J L 1� Homc Phone r Gus.Phone: Address 7 City / r Slate Zip This Contract a made and entered into this / day of1024, /�/2 20 0 by and between Florida Home Improvement Associates,Inc, a Florida corporation('Contnctol'or"FNA'),and owner(s)named above of the residence located at the address listed above('Owner"). The Wo k.Contractor agrees to perform the work described below: Dhxtlons are viewed hen the Inside.Remove existing units to be replaced.(NOTE:Removed Items are likely to be damaged.) On coding able doon Acyve and need 21 Prepare openings as necessary to receive replacement units. Panels are IdentMed. On UsemsnU 3) N7NDOM: F11A Energy Storm Saver_Simonton Vinyl Insulated and single French doors the hinge Is IdenWlad Right Hinge and left Hinge. Install _Aluminum Insulated,_Aluminum Non-Insulated On Double-Frendr Doors the mora 41 Doors:_,RIA Energy Storm Saver_ Aluminum I�laled,_•�Aluminum NoMneulated active door Is Identified Impact:( ✓) Non-Impact:( Color/ hite: l!� Tan: Bronze: Grey: MITI Finish: Lm / DDsrbk Hung sink Hurw g Casemen Picture,�Wiiinnnddow 900 Ye-Standard ) Nab Q'J Sandard_ QtY� Qtyf�f QtY� QCY / Custom }� 7L �l ® EE FA AF /✓amvt F nNH ❑ / ) / Sliding Gig,,odor Sinale French Doom Pguble French Doors Geometric AA AF FA FAAF/� FAA RH( ) ( ) RA( ) LA( ) Qty Qty Qty1Q Qh Qsy W4tY Qh—'lila Glass: L�tsf�5 D k' All A/' LF}/L ,iJJrr�' �` V,4- NMAL HERE-) Q.�}• Warranty. Manufacturer's Warranty sent up/on competition. ,/ /✓ Q� 5) Work NOT to be replaced: Qs(�L Y `�/�DD/f/� /��1' ?� A) INITIAL HERE��L�N 6) If applicable,removing shutter panels,and/or security bars. 7) Special Instructions: ! D s S) Cleanup Job debris and provide necessary permits and Insurance. 91 If applicable,In the event that Contractor Is unable for whatever reason to obtain proper permits prior to commencement of any work, Contractor strait 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.) , 2 i S7YCGt� Additional Work L — Schedule:Contractor shall commence the work within (/days after exewtion of the Q0rp-Qct(the"Commencement Date')and shall endeavor to complete all Work hereunder within-14�hys after the Commencement Date.�/y/J✓S(J / Contract Price $ The TOTAL PRICE for all Labor and Materials(inc udin , linable discount)is $ Sales Tax(%) $ A— Down Payment $ (if applicable) p 9alance Payable $ Total Contract Price $ U Contractor will provide to Owner a Final Waiver and Release of Lien and Contractors FI al Affidavit to Owner,substantially similar to the forms a0 included In chanter 713.Fonda Statues(20051. X Circle onedq�or NO)Owner elects to appy for financing of the above-statue lump sum amount.If yes is circled,see finbnc rig o and related documents Notke to tM Owner,H financing Is being obtained by Owner: a).Do notsign this hams Improvarnant writraa 144llsding fbundM documents)in blank. b),You we erstldad to a copy Of the contract at the time Y"u sign.K-P it to Protad your legal rights. c).The financial documents etUKW Vol this Mme improvement centrad may contain a mortgage or otherwise"sate a Ilan on your property that could be foreclosed on M you dg not pay Be wre You understand all Provisions of the contract and financial dowments before you sign. Miscellaneous This contract contains the entire coni nct of the parties.It may not be changed orally but only by a signed change order or other written amendment.rhe 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 midnight on the third business day after the date of this transaction. SN the ettachecLo a of�Bcol n for or an xplanation of this right. Owner: x �� Contract .F By 2-7 (Signa si/re of Owner) (Nam (Signatur ner) Date Home Owners Association Name: Phone#: YES ( ) NO ( Building Name: