HomeMy WebLinkAboutUntitled ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ! 'l n
Date: Permit Number: I ►"5' v q I (a
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Building Permit Application MAY 1.41010
Planning and Development Services Permitting De men
Building and Code Regulation Division St` Luck,Countyt
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Window/door
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 &8I
Site Plan Name: Block No. 7
Project Name: James Trinidad
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace windows
D-1 VVi al o4ALC
- CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit—check all tha apply:
HVAC Gas Tank Gas Piping I Shutters Q Windows/Doors 1
ElElectric ElPlumbingEi Sprinklers '_Generator _Roof Roof pitch
Total Sq. Ft of Construction: 5995 S . Ft. of First Floor:
Cost of Construction:$ 13,316.80 Utilities: I _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name James Trinidad Name: James Cody Thomas
Address:2614 Newport Dr Company: Florida Retrofits., Inc.
City: Ft. Pierce State:Fl Address:
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: CCC1330830/CBC1259135'
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
1
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ,
DESIGNER/ENGINEER: x 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: 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 represu
sentation that is granting a permit will authorize the permit holder to build thesubject 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 your Notice of Commencement.
Signature Owner/Lessee/Co tractor as Agent for Owner Signature o Contractor/License Holder
STATE OF FLORIDA STATE OF FLOf1QA j '
COUNTY OF 0 ro'vc- COUNTY OF Vise_V
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this—1--day ofiNG1 )) ,20/1' by this_ ' day of ( -) ,20/e—by
Nam f person making statement Name of pers n making statement
Personally Known OR Produced Identification Personall\TKiltant�, OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary Public-S1212_f EInr•i�la (Signature of Notary PcblVgi*. -AFRIxid�1�ISA BLANKENSHIP
Y•P�.., HARDN Llas��Np�Eq�SHIP MY CO,t�AM SIGN#FF1�53633
Commission No. "` � my commis R7N#FF153B33 Commission No. 5, oP lEea l
August 24,2018 '9',.OF0.0,•• EXPIR S August 24, 2018
''; 'e EXPIRES Aug (407)398-0153 Florldallota Service,com
. .•Seonce.com
(407)39.-' -
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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