HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 23�
RECEIVED
Building Permit Application JUN 1 1 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: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 7005 PENNY LN FORT PIERCE,FL 34951
Legal Description: LAKEWOOD PARK-UNIT 9
Property Tax ID#: 1301-611-0178-000-1 Lot No.12
Site Plan Name: KENNETH FRENCH Block No. 108
Project Name: KENNETH FRENCH
Setbacks Front 4 Back: 4 Right Side: Left Side: 3
[DETAILED DESCRIPTION OF WORK:
REPLACE 9 WINDOWS & 2 DOORS WITH IMPACT. SIZE FOR SIZE.
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
❑HVAC EiGasTank ❑Gas Piping _Shutters Windows/Doors
❑Electric ❑ Plumbing []Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 19,288 Utilities:n Sewer❑Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name KENNETH FRENCH Name: WAYNE THOMAS BURNETT
Address:7005 PENNY LN Company: FLORIDA HOME IMPROVEMENT ASSOC.
City: FORT PIERCE State:FL Address: 3044 SW 42ND STREET
Zip Code: 34951 Fax: City: HOLLYWOOD State:FL
Phone No.203-343-4274 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 11`FLAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable '
Name: Name:
Address: Address:
City: State: City: State:
"Lip: 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.
1 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
R iz accordance V 11h Me apl l-frie i pians,the non ida Cu;l;3;na-Cod s and St Lucie Cou7€y-Arnanchnents. F
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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ature 6f Owner essee/Contractor as Agent for Owner Si t C tractor/License Holder
STATE OF FLORIDA` STATE F FL0
COUNTY OF J7• L V�' COUNTY OF
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TheDing insof t was acknowledge fore me The toping instrument was acknowledged befiore me
this day of /A
fo 20 J by this S day of T-11---W 204 by
Name of pr making statement Name of person making statement
Personally Known OR Produced Identification Personally Known \1 OR Produced Identification
Type-of Jdentification Type of.1dentification
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REVIEWS FONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
? DATF
COMPLETED
Rev.8/2/17