HomeMy WebLinkAboutBuilding Permit Application (2) ALL APPUCABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11" �UIC�U
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Date: Permit Number: F
is=J-J`C1,j'r RECEIVED
Building Permit Application 3utA 141o�e
Planning and Development Services per0i2C%n9 peps ntY nt
Building and Code Regulation Division St.Luce Cov
230014rginla Avenue,Fort Pierce FL 34-082
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential V
PERMIT APPLICATION FOR: Window/Door
PROPOSED IMPROVEMENT 1 LOCATION:
Address: 5601 Sunset Boulevard,Fort Pierce,FL 34982
Legal Description:INDIAN RIVER ESTATES-UNIT-08-BLK 58 LOT 37
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'Property Tax ID#:3402-609-0255-000-4 Lot No.37
Site Plan Name: Block No.58
Project Name:Nancy Schneider
Setbacks Front Back: Right Side: Left Side:
'DE
;T DESCRIPTION OF WORK-
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Replace 1 door
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CONSTRUCTION INFORMATION.
ACIC11tional work toorme under this permit—check a apply:
1jHVAC rlasTank ❑Gas Piping OGenerator
Shutters Windows/Doors
Electric ElPlumbing Sprinklers E]Roof
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Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3,685.00 Utilitles:cnSewer OSeptic Building Height:
OWN ER/LESSEE: CONTRACTOR!
Name Nancy Schneider Name:Toby Tokes.
Address: 5601 Sunset Boulevard Company:Armorvue Window&Door
City: Fort Pierce State: FL Address:1000 Clint.Moore Rd Ste 109
Zip Code: 34982 Fax: City:Boca Raton State:FL
Phone No. 772-595-1950 Zip Code:33487 Fax:
E-Mail: Phone No. 561-9884222
Fill in fee simple Title Holder on next page(if different E-Mail: ,beCCLI@IDPY mi ki (•�
from the Owner listed above) State or County License:CRC1330842
1
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTA CONSTRUCTION�LIEN U4W INF.ORMATIDN.r.-,.
; . .
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.
IZip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.LucieCounty 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.
Signature of caner/Agent/Lessee Signature of ontra /Ll nse Holder
STATE OF FLORIDA STATE O FLORIDA
COUNTY OF" 114 r,/ e COUNTY OF )oa /i@"-A
The fo oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of_�%LC/1 P 20 by this day of cTlc 20 by
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(Name of pers6n acknowledging) � (Name of p rson acknowledging)
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[Signature-of Nbtary Public-State of Florida} E m � P Mg-nature of Wary Public-State of Florida} m •
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Personally Known OR Produced IdentmclIt M Personally Known to/ OR Produced IdentificatW' ' �
Type of Identification Produced -,I Type of Identification Produced go at
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Commission No. {Sealpo a Commission No. (Seal) w
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS