HomeMy WebLinkAboutWINDOW/DOOR INSTALLATION RESIDENTIAL ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/08/2018 Permit Number:VI fid' �J3
:RECEIVED 2 4 2018Building Permit ApplicationPlanning and Development Services ST. ounty, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential Yes
PERMIT APPLICATION FOR: Window/door
PROPOSED,IMPROVEMENT LOCATION:
Address: 7405 Ocala Avenue Fort Pierce, Florida 34951
Legal Description: Lakewood Park Addition NO. 1-BLKC Lots 9 and 10(or 969-2862:970-434)
Property Tax ID#: 1302-810-0060-000-5 Lot No.9 and 10
Site Plan Name: Block No.
Project Name:
Setbacks Front .Back: Right Side: Left Side:
DETAILED`DESCRIPTION.OF WORK:
Replace existing windows and door with impact. 8 Openings
CONSTRUtTION,INFORMATION: Z
Additional work toe e orme under this permit=
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:Lange,Julie Name:Ronald Kromhout
Address:7405 Ocala Avenue Fort Pierce,Florida 34951 Address: 7405 Ocala Avenue
City: FartPierce State: City: Vero Beach State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:4500 5th Place SW 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 recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signat re 6f Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sL Lucie COUNTY OF sL Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 8th day of October 20_ by this 8th day of October ,20_ by
Name of person making statement Name of person making statement
Personally Known OR Produced Identification x Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Drivers License Produced
CH
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(Signature of Notary Public-State of Florida) MY COM Ogg 4F 97�taa Public-State of Florida)
'' EX IBeES pg
Commission No. (Seal) 44o7i898-01s9 p CO iWS. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17