HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 o Permit Number:
RECEIV
cD
Building Permit Application DEC -5 2m
Planning and Development Services Permitting Department
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 St. L u ci County, FL
Phone: (772)462-1553 Fax:(772)462-1578 Commercial ReSt e
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 7705 Lockwood Drive Ft. Pierce, FI 34951
Legal Description: Lakewood Park-Unit 3-BLK 23 Lot 16 Parcel ID#1301-603-0193-000-7
PropertyTax ID#: 1301-603-0193-000-7 Lot No. 16
Site Plan Name: 7705 Lockwood Drive Block No. 23
Project Name: 7705 Lockwood Drive
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace exisitng windows with impact units C1 Vvi,c, S
CONSTRUCTION INFORMATION:
Additional work to be ertormed under tis permit—clecl all appy:
11HVAC Gas Tank Gas Piping _Shutters a Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: Sq.Ft,of First Floor:
Cost of Construction-$ 6,000.00 Utilities: Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Richard Ford Name: Nicholas Fusco
Address: 7705 Lockwood Drive Company: Pyramid Builders of Palm Beach, Inc.
City: Ft.Pierce, State: FI Address: 1381 N. Killian Drive
Zip Code: 34951 Fax: City: Lake Park State: FI
Phone No. (561)801-3130 Zip Code: 33403 Fax: (561)882-3918
E-Mail: Phone No. (561)882-3992
Fill in fee simple Title Holder on next page(if different E-Mail: pyramid_builders@bellsouth.net
from the Owner listed above) State or County License: CGC1505118
If value of construction is$2500 or-more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ,S Not Applicable MORTGAGE COMPANY: vNot 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 thepermit 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 your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Cont or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF � , Lu.6u COUNTY OF 1�
The fLq�r oing instr men'was ackn wledge before me The forgoing instrument was acknowledged before me
thisC.Y� day o� 20 by this" day of g�",,,_V-Xk� ,20 k% by
rz.S )Pk, . L-O
Name of person aking statement Name of person making statement
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary Public-State=Notary
re of Notary Public- te�ps?J&Wida) ." TISlFA INORCESTE
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Commission No. �vll i� low c nmm" ionNo.G� =•' Seon GG 2 3 oUnilrnlsslon k GG 09
2022 Dc't`I l> %;�, My Comrn.'Expires Jun 5 2'21
Bonded through National Not y Assn
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED F_ 1
Rev.8/2/17