HomeMy WebLinkAboutBuilding Permit Application hV
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ Permit Numbe
•
Building Permit ApplicatioRct;E 4,7 E
IV ' D
n JUN 2 9 2Q18
RE
Planning and Development Services
Building and Code Regulation Division Perm ittl it Department
@11
2300 Virginlo Avenue,Fort Pierce FL 34982 St. L
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Cie '��n /f FL
PERMIT APPLICATION FOR: Window/Door
PROPOSED IMPROVEMENT LOCATION:
Address: 5309 Myrtle Drive,Fort Pierce,FL 34982
II' Legal Description:INDIAN RIVER ESTATES-UNIT 07-BLK 48 LOT 44
Property Tax ID#:3402-608-0300-000-2 Lot No.44
Site Plan Name: Block No.48
Project Name:Lorene Ponder
Setbacks Front Back: RightSide: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 10 windows
CONSTRUCTION INFORMATION:
Additional wor to De r orme un ert sperm t— e a appy:
HVAC Gas Tank ❑Gas Plping _Shutters a Windows/Doors
0 Electric ❑Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 13,800.00 utilities: Sewer Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name Lorene Ponder Name:Toby Tokes
Address: 5309 Myrtle Drive 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. 754-779-5006 Zip Code: 33487 Fax:
E-Mail: Phone No. 561-988-4222
Fill in fee simple Title Holder on next page(if different E-Mail:permits(aDarmorvue.com
from the Owner listed above) State or County License:CRC1330842
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Count►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
commAcing work or reo6rding your Notice of Commencement.
0l
ign ure of wner/Agent/Lessee Signature,6f ContrktopAicense Holder
STATE OF FLORIDA STATE OF FLO2"02
DA
COUNTY OF SY 1,#Cc Q COUNTY OF /� OWA
The fo ping instrument was acknowledged before me The fo ping instrument was acknowledged before me
this,f�day of JTA%.I_>< 20 0 by this day of�d!&&Q 20469 by
{Name of person acknowledging) (Name of erson acknowledging}
ignature of No Public-State of Florida) (Signature of N&firy Public-State of Florida}
Personally Known_�OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
�,�N y, lctcria Lee Burrell �pPy qss is ona ee Burrell
Commission No. _ N0AsLqU PUBLIC Commission No. 9RY PUBLIC
-STATE OF FLORIDA F OF FLORIDA
PF-477496 ': Comnti,FFiJ7685
Expires 11/18!2018 ce tg Expires 11/18/2018
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS