HomeMy WebLinkAboutBuilding Permit Application (3) 5
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ALL APPLICABLE INFO MUST BE COMPLETED'FOR APPUCATION TO BE ACCEPTED
Date: Permit Number: '
Building Permit Application
t planning and Development Services
fBuilding and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 �
j Phone:(772)462-2553 Fax: (772)462-1578 Commercial� Residential
!PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
!Address:.
2202 River Hammock Ln Ft.Pierce FL 34981
'Legal i)escription:RIVER HAMMOCK LOT 11(050 AC) (OR 743-2957:3048-2203;3157-1151)
Property Tax 1D#:3404-702-0011-000-4 Lot No.
'Site Plan Name: Block No.
Project Name:Richard&Anna,Field
Setbacks Front Back: Right Side: Left Side:
[OE-T, AILEQ'DESCRIPTION'OF WOW:'
Replacement of 16 Windows and4,Doors
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CONSTRUCTiON INFORMATION: -
it ona wor tae r orme un er t is perm — e a appy.
a
E3HVAC Gas Tank E]Gas Piping _Shutters Windows/')Dors
oElectric 0 Plumbing ESprinklers oGenerator ORoof
' Total Sq.Ft of Construction: So.Ft.of First Floor:
Cost of Construction:$ 38500 Utilities:[]Sewer Septic Building Height:
'OWNER/LESSEE: nz CONTRACTOR:
Name Richard&Anna,Field Name:Toby Tokes
j Address- 2202 River Hammock Ln Company:Armorvue Window&Door
City. Ft.Pierce State: FL Address:1000 Clint Moore Rd Ste 109
Zip Code: 34981 Fax: City:Boca Raton State-FL
Phone No.,7725798752 Zip Code:33487 Fax:
E-Mail: aammfflkn aol.com Phone No. 561-988-4222
Fill In fee simple Title Holder on next page(if different E-Mail: &At1)TM))<-t (10, P-h hyo)Z C-C),/4
from the Owner listed above) State or County License:CRC1330842
if value of construction Is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _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:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County make no representation that is granting a ermit will authorize the permit holder to build the subject structure.
which is in conflict wit�i 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.
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Signature of Owner/Agent/Lessee Sig u Co ra /Licens older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Gkci-e COUNTYOF Alcd k
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this fQ day of A4AV 20 18 by this-/&day of 20_M by
{Name of person acknowledging) (Name of Arson acknowledging)
Z!A� ==&&1Z `1 � zO
Signature of ry Public-State of Florida} [Signature of ry Pub/lic-State of Flonda}
Personally Known -""'OR Produced Identification Personally Known ✓ OR Produced", 16WOmMell
Type of Identification Produced xrtplia Lee Mum Type of Identification Produced IRLIC
NOTARY PUBLIC ;SAT OF FLORIDA
grim,
Commission No. �, 01TE OF FLORIDA Commission No. ; FF177W
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Cmrn#FF177686 s/ASCE�g�� Expires 1111812018
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS