HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater- 6 1)3!N Permit Number:
RECEIVED
Building Permit Application
Planning and Development Services J U L 3 12018
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Resl ential X
PERMIT APPLICATION FOR: Window/door
PROPOSED tMPROVEN{ENT LOCATION
Address: 2303 Canoe Creek Ln, Fort Pierce, FL 34981
Legal Description: CANOE CREEK LOT 11 (0.50 AC) (OR 1349-1065)
Property Tax ID#: 3404-701-0010-000-4 Lot No.11
Site Plan Name: Block No.
Project Name: Kastner Sliding Door Replacement
Setbacks Front Back: Right Side: Left Side:
71
A,DETAILED DESCRfPT1CaN'�OF WORK - - � r
Remove and replace outside sliding glass door and frame with Jeld Wen Low-E 366 clear impact
glass.
CONSTRUCTION tN'FORMATION ;
Adriitiona work`toe e orme under this permit—check allappy:"
HVAC 11 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4,167.08 Utilities:Sewer ElSeptic Building Height:
OWNER/LESSEE y CONTRACTQR` fi
Name Stacy A Kastner Name: David"Harley"Van Ginhoven
Address:2303 Canoe Creek Ln Company: D C Construction &Company, Inc.
City: Fort Pierce State:FL Address: 191621st Ave.
Zip Code: 34981 Fax: City: Vero Beach State:FL
Phone No.(772) 882-8089 Zip Code: 32960 Fax: (772) 567-4237
E-Mail:creynolds839@yahoo.com Phone No. (772) 360-8571
Fill in fee simple Title Holder on next page(if different E-Mail: harley@ibuildwithCare.net
from the Owner listed above) State or County License: CGC1507644
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Y
sup,PLEMEIVT 'I CONSTttUCTIUN$LIEN LAW INFORM ITIQN
DESIGNER/ENGINEER: x_Not Applicable MORTGAGE COMPANY: x Not Applicable
Name:Stacy A Kastner Name:David"Harley"Van Ginhoven
Address:2303 canoe Creek Wortffrce,FL 34981 Address: 2303 Canoe Creek Ln
City: Fort Pierce State: City: Vero Beach State:
Zip: Ph on Zip: Phone:
AF YA
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Im Not Applicable
Name: Name:
Address:1916 21 st Ave. Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
i
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
i 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 or rece4zding your Notice of Commencement.
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Signature of Ow r/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA- TATE OF FLORIDA
COUNTY OF �, /—a c r P COUNTY OF ':7[. Cu r r e.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 'day of 3i��� 20 by this
` day of �h r di 26 by
S{gc�' JCRs{ner DIrvic-r, V,/I -i 7fi0vP
Name of person making statement Name of person making statement
Personally Known OR Produced Identification_� Personally Known OR Produced Identification _
Type of Idents ca ion Type of Identifi iQn
Produced Produced
(gn,ture of No Publilu,$,��te of Flori a) gnature of Notary " ' Q,of Flori��e
`,��P�y? �; Joseph Gomez ••' <;: ph Gomez
Commission No. °?' = �p Commission No. =4 ,�_ #GG161404
on#G6161404 o. Expi ep: ovember 16,2021
, Bonded November 16,2021
�,: Bonded thru Aaron Notary
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17