HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE CEPTED I,, n
Date: Pe mit Number: V 0"IoL"
Building Permit Appl cation
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
PERMIT APPLICATION FOR: To Select from dropbox, click rrow at the end of line
PROPOSED IMPROVEMENT LOCATIO
Address: 530.1 Suson Ln.
Legal Description: Holiday Pines S/D-Phase I-Lot 164 (MAP 13/12S) (OR 872-571)
PropertyTaxilD#: 1312-500-0165-000-0 Lot No. 164
Site Plan Name: Block No.
Project Name: Stanton- 10793181
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION QF WORK
replace 17 windows and 4 doors size for size. NOA 17-063 .05, 17-0420.06, 17-0630.01
COMSTRUCTIaN IN ORMATIOIV A P E.
Additional work to be nertormed un ert ispermit—check all a ply:
HVAC Gas Tank Gas Piping [IS utters Q Windows/Doors
Electric ❑ Plumbing Sprinklers 1:1 G nerator F] Roof
Total Sq. Ft of Construction: SFt. of irst Floor:
Cost of Construction:$ 41631.00 UtilitieslnSe er Septic Building Height:
01NNER/LESSEE. CONTR CTOR °
Name Sandra Stanton Name: R quel.Swanner
Address:5301 Suson Ln. Compan : The Home Depot
City: Fort Pierce State:FL Address: 6500 NW 12TH Ave. Suite 110
Zip Code: 34951 Fax: City: Fo Lauderdale State:FL
Phone No. Zip Code 33309 Fax: 407-469-3499
E-Mail: Phone N . 407-469-5599
Fill in fee simple Title Holder on next page(if different E-Mail: j nathon.thomas@expeditepermit.com
from the Owner listed above) State or ounty License: CGC1514813
If value of construction is$2500 or more,a RECORDED Notice of Commenc ment is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN F,O'
DESIGNER/ENGINEER: _Not Applicable MORTGA E COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a ermit.
St. Lucie-County makes no representation that is granting a permit will authoriz the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws r and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your eed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree tha I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commenc ment may result in your paying twice for
improvements to your property. A Notice of Commencement_mu t be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, conSL It with lender or an attorney before
comMeP4pg work or re'ord' o otice of Commence
Sign ure 71'
essee Signatur o Cont ctor/License Holder
STAT FLDA STATE OF FLORIDA
CO OF COUNTY OF
The forgoing instrument was acknowledged before The for oin instrument was acknowledged before me
me this i'day of )Vrtt 20 1$by this da of _�_knL ___J20_1?by
(Name of person ackno ledging) (Name of p rson acknowledging)
(Signature of Notary Public-State of Florida) (Signature f Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Ide tification Produced
Commission No. ommissio No.
���••,,• TIMOTHYR.
�{1�9Kv ,% TIMOTHY R.O'MALI.EYIII , '• O'MAU EY
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Revised 07/15/2014 EXPIREB:AupdT,2021 EXPIRE8:Nrpus 7,2021
,P,,, 5mW Tlw Notary Public Undenxrltots l .`a 8=W ft NoWy Polo"fflrit M
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE JI
INITIALS
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