HomeMy WebLinkAboutBuilding Permit Application I
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: t Date: 51 0—« aOY 7
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Ag o Ify Fo
Building Permit Application p ice._ 10�Ql�
Planning and Development Services �; •9Q
Building and Code Regulation Division uc/e co-"'i`ne
2300 Virginia Avenue,Fort Pierce FL 34982 4, nr
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
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PROPOSED IMPROVEMENT LOCATION
Address: 5116 Myrtle Drive Fort Pierce, FL 34982
Legal Description: INDIAN RIVER ESTATES-UNIT 07-BLK 49 LOT 9 (MAP 34/02S) (OR 3234-751)
Property Tax ID#: 3402-608-0311-000-2 Lot No.9
Site Plan Name: Block No. 49
Project Name: _
Setbacks Front Back: Right Side: Left Side: -
DETAILED DESCRIPTION;.OF WORK
Replace 9 windows size for size 1\,f\Arca*
CONSTRUCTION INFORMATION .,...:
Additional work to be performed under this permit—check all f h t apply:
OHAPiping
HVAC Gas Tank Gas Shutters El Windows/Doors
_
0 Electric 0Plumbing riSprinklers _Generator _Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 10871 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE
CONTRACTOR:
Name Shelia Craan Name: Roberto Sanchez
Address:5116 Myrtle Drive Company: The Home Depot 11
City: Fort Pierce State:FL Address: 6500 NW 12TH Ave. Suite 110
Zip Code: 34982 'Fax: City: Fort Lauderdale State:FL J'
Phone No.772-307-1443 , 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.
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,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:
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 contlict 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.
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Signature of Owner/Agent/Lessee Signature of Contractor/ ice se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF stt ucfe COUNTY OF St Lucie
r The forgo' g instrumentas acknowledged before The forgoing instr ent was acknowled ed before me
me this day of .U.h , 20 NIT this day of 20 by
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Roberto Sanchez Roberto Sanchez
(Name of person iii •wledging) — (Name of person ackno, -dging)
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(Signature of Notary Public-State of Florida) (Signature of :tary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced II ,
Commission No. (Seal) c Commission No. (Seniey1� Raine
:' , Ashley Raine_ Vit:;`=t' 4s'po NOTAF.Y PUBLIC
% 4° NOTARY PUB,tC � ' STATC OF FL
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SiArt Ot FLC3RIiXA • 1':,I4 o K
Revised 07/15/2014 ----.,,J.;-\!'`` ' • �" e Comm •GG235548
Commit-GG235648
1,,i1 ''4:.'E 1,�� Expires 7/512022
Expires 7/5/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS