HomeMy WebLinkAboutWINDOW/DOOR INSTALLATION RESIDENTIAL 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED tl
Date: 0\ \'� \ `t Permit Number:
RECEIVED
Building Permit Application SEP , 7 ,.J18
Planning and Development Services S-. Lucie County, Permitting
Building and Code Regulation Division ---
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
-PROPOSED IMPROVEMENT LOCATION:
Address: 9402 POINCIANA COURT, FT. PIERCE FL 34951
Legal Description: MEADOWOOD UNIT ONE LOT 20 (.26 AC)(OR 3603-1604)
Property Tax ID#: 1334-503-0022-000-3 Lot No.20
Site Plan Name: GRAZIANO Block No.
Project Name: GRAZIANO
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION CIF WORK:
WINDOW REPLACEMENT /� � ���✓� Cz�.��. `\
/ djJ
EC:0:N5STR:UCTION INFORMATION:
Additional work to be performedunder tis permit—check all h apply:
HVAC LI Gas Tank Gas Piping _Shutters a Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor: 1729
Cost of Construction:$ 15,058.03 Utilities: Ir(Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name FRANCIS GRAZIANO Name: JOSH FARROW
Address:9402 POINCIANA COURT Company: FARROW CONSTRUCTION
City: FT PIERCE State:FL Address: 1821 LEMON AVENUE STE. B
Zip Code: 34951 Fax:NA City: VERO BEACH State:FL
Phone No.772-595-1838 Zip Code: 32960 Fax: 772.217.3918
E-Mail:NA Phone No. 772-617-2488
Fill in fee simple Title Holder on next page(if different E-Mail: INFO@FARROWCONSTRUCTION.COM
from the Owner listed above) State or County License: CGC1508740
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:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 or Lecording your Notice of Commencement.
Signature of Owner/Lessee ontr -tor as-A"garrefor Owner Signature tractor/License Holder
STATE OF FLORIDA STATE OF FLORI A
COUNTY-OF ILCA #A 61 COUNTY OF (A,1on
The forgoing instr ment was acknowledged before me The f rgoing instrument was acknowledged before me
this day of oknL)6e r ,201L by this T day of 204 by
1'rG1nC.i� �'rCe 2.1(}..fl(:� (,��f�M,�• ��� 0 �lJ�
Name of person making statement Name of p n making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Iden ' i ation Type of Identification
Produced Produced
� KIMBERLY F.FARROW
• 1 MY COMMISSION#IFF 91131110 NEE E EISWERTH
"GO 16744
(Signatur f N a , ,�ta�j publlcUndeiwrtfnh (Si ature of Notaa ubtb..;,, ° XPI ES July 31,2020
Commission No.� (� (Seal) Commission No. 1`31`
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17