HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 10ty-
/n�,w
Date: ermit Number: a 1
IS
WOOa!�u t
wied
Building Permit Ap lication u9
wV,2d8a
Planning and Development Services
Building and Code Regulation Division,
2300 Virginia Avenue,Fort Pierce FL 34982 a3!\IB�3b
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION
Address:
100 N EL MAR DR
Legal Description: BRACH CLUB COLONY
I '1
PIropertyTax ID#: 4511-50070056-000-3 Lot No. L�
Site Plan Name: Block No.
i
Project Name:
Setbacks Front 5 Back: 4 Right Side: 5 Left Side:
-
DETAILED"DESCRIPTION OFWORK:
REPLACE 9 WINDOWS & 5 DOORS WITH IMPACT. SIZE FOR SIZE.
�L ILp"1310 =R�- �'L 14Sly -'1Z3
CONSTRUCTION INFOR;VIATION;
Additional work to be nertormed under tispermit—check all a ppy:
OHVAC Gas Tank ❑Gas Piping _ hutters Q Windows/Doors
0 Electric Plumbing Sprinklers Eh ienerator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of IFirst Floor:
Cost of Construction:$ 1(1. 00 Utilities: _Se er F_Septic Building Height:
OWNER/LESSEE: CONTi ACTOR:
Name t Name:rA"NETHOMASBURNETT
Address:100;N EL MAR DR CompaORIDA HOME IMPROVEMENT ASSOC.
City: JENSEN BEACH State:F� Addres SW 42ND STREET
,Zip Code: 34957 Fax: City: HOOD State:FL
Phone No. 1���-' 1 �1 b Zip Cod 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 o County License: CGC#061890
If value of construction is$2500 or more,a RECORDED Notice of Commen ement is required.
N'IVV
SUPPLEMENTAL CONSTRtJCT10'N LIEN 1A11UINFfJRI�
Ott'. i
- - - -
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name: f
Address: Address: I
City: State: City: I State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDINGICOMPANY: 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 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 c ncurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and a cessory 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, cons It with lender or an attorney before
commencing work or reco[.ding your Notice of Commencement.
s
S' nature of Owner/ essee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF F I STATE OF LORID
COUNTY OF ; 1t �� COUNTY F al A� ��,_C`yf_
The for oiniqinstrument was acknowledged efore me
The forgoing Instrument was acknowledged before me g
this -{4 day of SV N 20by thisda of ���� 20 1 by
I
r edlx�z f WA NE THOMAS RNETr
(Name of person (Name of PE rso wledging)
(Signature of Notary Public-State of Florida) (Sig tur No ar7OR
-State of Florida)
Personally Known OR Produced Identification P rs Ily nown Produced Identification
Type of IdentificaticP T e of I ification Produced
d' ?° Y � Fla ciscoNotary lic statee daof lorida
Commission No. �j Commissio No. Iyi�;Ul)MERCADO
My commis GG 139459
Expires 0e129/2021 '•t° MY COMMISSION#GG0957A5
21
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS