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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
aCo,,� Permit Number: ,$���
RECEIVED
Building Permit Application. JUL 2 6 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie Codnty, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
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Address: (-* 1 ,2 '-y)a,.,,,` L.z,.,e �o ! ��_(%A e. tel—
Legal Description:
Property Tax ID#: 3 11 c) — S- i Lot No. I lA
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side: l
__09' 010M I—t-m 5:::.. MINs��.'i���W-11 .
REPLACE Lo WINDOWS & 96 DOORS WITH IMPACT. SIZE-FOR SIZE.
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Additional work toe e .orme under this permit-check` a appy:
0 HVAC E]Gas Tank E]Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pit(
Total Sq. Ft of Construction: 1 '1 _ n n Sq. Ft.of First Floor:
Cost of Construction:$ 1 1 ��t � Utilities: Sewer Septic Building Height:
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Name ,� P Name: WAYNE THOMAS BURNETT
Address: („ I ,�� �_ L r,e_ Company: FLORIDA HOME IMPROVEMENT ASSOC.
City:` L G-1 State:FL Address: 3044 SW 42ND STREET
Zip Code:3y qi C-5. Fax: City: HOLLYWOOD State:FL
Phone No. Zip Code: 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 or County License: CGc#061890
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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: X 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' un makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con ict 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 ofthe 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 undergoinga 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 Commence
4
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Signature of Owner/Lessee/Contr or s Agent for Owner Sig a re ntractor/License Holder
STATE OF FLORIDA STA F FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged a ore me The forgoing instrument was acknowledge��efore me
this day of �dl% 20 � by thi�day of������ ,20 - by
WAYNE THOMAS BURNETr
(Name of person ackn a ing (Name of person a owledging)
(Signatur o of Pu State-of Florida) (Sign ure taWP,od
' -State of Florida)
Pers y own ro nt�i Pe Known9R-P fication
Ty. I entific on P Qtun�YPc�`= - Ty Identificatctl MI U
'='' n R MY COMMISSION#GG095745
" E Aril 19,2021
mission No. '•''riF EX P Commission No. ;? o �c
�Sea� EXPItaC-§�Oril 19,2021
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Revised 07/15/2014 .
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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