HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
PROPOSED iIUIPROU£fUlE1 LOGATI IU k
Address: 2210 BELL AVE, FORT PIERCE, FL 34982
Legal Description: 28 35 40 FROM SW CORNER OF SEC RUN NLV 40 FT ALG SEC LI TH ELY 642.45 FT FOR POB
TH CONT ELY 152 FT TH NLY 302.58 FT WLY 152 FT TH SLY 302.58 FT TO POB
PropertyTax ID#: 2428-331-0001-210-9 Lot No.
Site Plan Name: Block No.
Project Name: JENNIFER KEMPER
Setbacks Front Back: Right Side: Left Side:
D'ETA�IED�ESGRtSPT)ON"OF}W0R ;
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REPLACE 1 DOOR SIZE FOR SIZE
CON; TftUCTIQN 1I� C�RfAI�Tf�N
Additional work toe `e rorme under tIs permit—checka appy:
HVAC E]Gas Tank E]Gas PipingShutters Q Windows/Doors
Electric 0 _Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 4691 S Ft,of First Floor: 2050
Cost of Construction:$ 4880 Utilities:DSewer 0Septic Building Height: 15'
,=4 'CONTRACTQR�'
Name JENNIFERXEMPER Name: MICHAELO'DONNELL
Address:2210 BELL AVE Company: O'DONNELL IMPACT WINDOWS&STORM PROTECTION
City: FORT PIERCE State: FL Address: 6402 SE FEDERAL HWY
Zip Code: 34982 Fax: City: STUART State:FL
Phone No.405-812-8324 Zip Code: 34997 Fax: 888-833-0167
E-Mail: Phone No. 772-408-0200
Fill In fee simple Title Holder on next page(if different E-Mail: rich ie.roberts®expeditepermit.com
from the Owner listed above) State or County License: CRC1331273
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
NEER
DESIGNER/ENGINEER: Not Applicable` MORTGAGE COMPANY:' Not Applicable
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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:
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.
7
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ignature of Owner/Lessee/ ontractor as Agent for Owner ignature of Contractor/Lice se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF fr: C VCIL COUNTY OF 5T We_k e__
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Lf day of CU iv-e . 20 Eby this L day of aur`'-C_ 20 1 by
ALC,,46-ek aI J)on►rvel ' norvru- t 1
(Na n acknowledging) (Nam on acknowledging)
(Signature of No ary Public-State of Florida} (Signature of Notaryublic-State of Florida)
Personally Known /-_ OR Produced Identification Personally Known 04-- OR Produced Identification
Type of Identification Produced Type of Identification Produced
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Commission No. (Seal) Richie Roberis Commission No. a �c .ARYp J. P
j0 f TE OF ��1t10
�1a9YAssc p10TARY PUBLIC q cS�STA
DA � 11353.
Revised 07/15/2014 g� Comm#FF95S353 �j's�NCE191� tix4�tes�
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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COMPLETE
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