HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �.
Date: Permit NumLesi
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Building Permit Applicatio2 8 2019
Planning and Development Services Department }
Building and Code Regulation Division Lucie County,
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2300 Virginia Avenue,Fort Pierce FL 34982 y
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
PERMIT APPLICATION FOR: Window/door
PROPQSED IMtPROVEMENT LtOCATION
Address: 161 SE Serenta Port
Legal Description: RIVER PARK-UNIT 5 BLK 46 LOT 27(MAP 34/28N)(OR 990-2740)
Property Tax ID#: 3419-540-0131-000-1 Lot No.27
Site Plan Name: Block No. 46
Project Name: Miriam Murrell
Setbacks Front Back: Right Side: Left Side:
J OTAILED DESCRIPTION OF WORK
�:
77
Replace 6 windows size for size (NOA#17-8636.88 )
CC NSTRUCTtON INFORMATION
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Additional work to be nertormed under tis permit—c ec a I appy:
E1HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 6484 Utilities:Cn Sewer Septic Building Height:
01NNER/LESSN E., 4„` _ CONTRACTOR
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Name Miriam Murrell Name: Roberto Sanchez
Address:161 SE Serenta Port Company: The Home Depot
City: Port Saint Lucie State:FL Address: 6500 NW 12TH Ave. Suite 110
Zip Code: 34983 Fax: City: Fort Lauderdale State:FL
Phone No.754-204-1248 Zip Code: 33309 Fax:
E-Mail: Phone No. (754)224-2010
Fill in fee simple Title Holder on next page(if different E-Mail: ashley.raines@expeditepermit.com
from the Owner listed above) State or County License: CGC1522717
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW iNFQRMATlON ^ N
DESIGNER/ENGINEER: _Not Applicable MORTGAGES 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:
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 our Notice of Commencement.
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Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF•StLuce
..The forgoing instrument vas acknowledged before Thefor oing instrume t was acknowledged before me
me this 1� day of ��b 20 Aby this day of Ve—b 20A by
Roberto Sanchez Roberto Sanchez
(Na of p s ackn wledging) (Name \ers cknowl dging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
j Type of Identification Produced Type of Identification Produced
II Commission No. rK�; �s�($ebfJt (d
ley Raines Commission No. .�f illy Raines
.z NOTARY PUBLIC a .�;
a'Py�;NOTARY PUBLIC
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TE OF FLORIDA is -STATE OF 'LORtDA
a Comm#GG235646 y P Comm#GG25648
Revised 07/15/2014 °�zE►e'° Expires 7/5/2022 n�e igExpires 7/5/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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