HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC BLE NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED nn
Date: `� Z ��J Permit Nu --�u � I
RECEI"'JED
Building Permit Applicati n JUN 2 6 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 St.. L u c i e County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 201 Hartman Rd, Fort Pierce FI 34947
Legal Description: 7 35 40 N 140FT OF S 354.3 FT OF W 330 FT OF 355 FT OF NE 1/4 OF SE1/4 LESS RD R/W-(1.06AC)(160B)
(OR 845-2471: 902- 1927)
Property Tax ID#: 2407-414-0002-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing windows in house. PGT impact resistant
/7 w�h�ays
CONSTRUCTION INFORMATION:
Additional work to.be performed under this-permit—c ec all that appy:
11HVAC Gas Tank []Gas Piping 1:1_Shutters Q Windows/Doors
❑Electric ❑ Plumbing Sprinklers E]Generator E] Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 8600.00 Utilities:nSewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Gregory Roslow Name: Kevin Firestone
Address:201 Hartman Rd Company: Firestone Construction Inc
City: 'Fort Pierce State:FL Address: 2183 S Brocksmith Rd
Zip Code: 34947 Fax: // City: Fort Pierce State.FL
Phone No. _ 222-2O— 31 Zip Code: 34945 Fax:
E-Mail: Phone No. 772-216-9379
Fill in fee simple Title Holder on next page(if different E-Mail: firestoneconst@gmail.com
from the Owner listed above) State or County License: CGC1510180
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: X 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 of)recprding your Notice of Commencement.
A ulil� k- te cl�?
Signature of Owner/Lessee/Contractor as Agentfolter�p,•.. Signature of -ontractor/License Holder -
STATE OF FLORI °q,;;.; STATE OF FLORIDA
COUNTY OF "" COUNTY OF
a m�v
The forgoing instr ent was acknowledged befor a :Pb o The for oing Inst ent was acknowledged efore
this day of 20 feby o' this� day of 20� by w Z=
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(Name of person acknowledging) a; (Name of person acknowledging)
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12,11 At 11 A
(Signature of No ry Public-State of Florida) (Signature of Not Public-State of Florida)
Personally Known' OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
I