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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 tw �2, _
Date: Permit Number: SN-Up
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_.. .__ _.. .. _ . . Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT TYPE:Window/door replacement
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PROPOSED�IMPROVEMENTLOCATION'
Address: 5404 Silver Oak Drive, Fort Pierce FL 34982
Property Tax ID#: 3402-606-0068-000-7 Lot No.4
Site Plan Name: Block No. 23
Project Name: Padrick window replacement
DETAILED DESCRIPTION OFWORK
Replace existing windows with new PGT vinyl windows,non impact,and replace front door with Plaspro impact door
House has existing shutters
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''CO'NSTRUCTION INFORMATION.
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 8500.00 Utilities: _Sewer _Septic Building Height:
01NN AlLESSEE CONTRACTOR r;
Name Charles and Rebeca Padrick Name:Kevin Firestone
Address:5404 Silver Oak Drive Company:Firestone Construction Inc
City: Fort Pierce State:_ Address:2183 S Brocksmith Rd
Zip Code: 34982 Fax: City: Fort Pierce State:FL
Phone No.772-332-9879 Zip Code: 34945 Fax:
E-Mail: Phone No 772-216-9379
Fill in fee simple Title Holder on next page(if different E-Mail firestoneconst@gmail.com
i from the Owner listed above) State or County License CGC1510180
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/EN .
GINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: i 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.
licertify that no work or installation has commenced prior to the issuance of a permit.
Si. 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.
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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
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"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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR OTICE OF OM ENCEMENT:-
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowled d before me The forgoing instru et was a;knowledge before me
this day of 2aJ by thi - day of 20( by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification - Personally Known OR Produced Identification
Type of I ntifi n ati Type of Identification
Produced��� il� Produced
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(Signature'of Notary Public-St to of Florida) 004tuite of N a ; c_W&MBANMIN� ,
Commission No. 4i ;s%p' LA$HAHtQ9A51� -BANNING MY COMMISSION GG T5060
RAM Commission No ES:DeCe
MY COMMISSION#GO 275060ded odP O
FXPIRES:pecemberho,2022 Thn,►Mary Public Undewters
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''• dFF��."•• BondedThN Notary PublicUndeWters
REVIEWS; FR PLANS VEGETATION SEA TURTLE MANGROVE
j COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19