HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t
Date: 3/29/2018 Permit Number: 1
RECEIVED
7
Building Permit Application MAY 01 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line '� � 1/
PROPOSED IMPROVEMENT LOCATION:
Address: 2662 CONIFER DR, FORT PIERCE, FL 34951
Legal Description: FIRST REPLAT IN MEADWOOD UNIT THREE-LOT 57 (OR 2359-409)
Property Tax ID#: 1334-506-0014-000-3 Lot No.57
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace (1) set double windows on front of home in garage w/ PGT Vinyl non-impact windows - house
has storm panels
CONSTRUCTION INFORMATION: 1
Additional work to be Dertormed under this permit-check all appy:
1_1HVAC Gas Tank F]Gas Piping _Shutters a Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator ❑Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 2,004.85 Utilities:[]Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Frederick Baker Name: Roy M.Johnston
Address:2662 Conifer Dr Company: Stuart Paint& Supply
City: Fort Pierce State: FL Address: 657 NE Dixie Hwy
Zip Code: 34951 Fax: City: Jensen Beach State:FL
Phone No. �`�Z - S 9S— g1 Zip Code: 34957 Fax: 772-334-2705
E MaiLo�.�e..�v�Cw @ GnnCCS�t•`�`� Phone No. 772-334-2700
Fill in fee simple Title Holder on next page( if different E-Mail: mjohnston@thebuildersstore.net
from the Owner listed above) State or County License: CGC 1517946
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: V Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 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 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,consu t with le ttorney before
commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for OwnerSig to Contractor/License Holder
STATE OF FLORIDA S ATE OF FLORIDA���
COUNTY OF i zr i i- COUNTY OF
The forgoing instrumenj was acknowledged before me The forgoing instru ent was acknowledged before me
this --� day of_ 141 20 by this T day of 20 'Kby
Name of person making statement Name$f person g statement
Personally Known X OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Sign re of Notary Public-State of Florida) 1/' (Signature ofUlorldzi IL
I op Notary Public Slats
L- idDA A HADL anaaKni9ht tea
Commission No.I- .� �s�;.., (S m fissionL
w My Commission GG 098988
�...
MY COMMISSION#FF1 1681 EzpKes OU21=1
no 70111 e3 F! r
REVIEWS FRONT m NS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17