HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/2/2019 Permit Number:
AUG � 'Gi�
•
_'......w - _ .. ST: uucle County, Permitting
Building Permit Applicat
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
-r
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT TYPE:
PROPOSED IMPRQI%EMENT LOCATION_` '' "'
Address: 10653 Pine Cone Lane, Fort Pierce, FL 34945
Property Tax ID#: 2321-801-0017-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK ft, 3 r
Removal and replacement of 3 exterior windows with new impact windows. 1 53"x 51"window and 2 37"x
51"windows joined with a mullion
� x
CONSTRUCTION INFORMATION`
q l
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. R.of First Floor:
Cost of Construction:$ 1250.00 Utilities: —Sewer _Septic Building Height:
OUI/NER/LESSEE ' N s L CONTRACTOR $ `F`; r
Name George Comins Name:
Address: 10653 Pine Cone Lane Company:
City: Fort Pierce State: Address:
Zip Code: 34945 Fax: City: State:
Phone No. 772 323-8768 Zip Code: Fax:
E-Mail: geocom09@yahoo.com Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
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.
S"UPPLEMENTAL CONSTRUCTION LIEN LAW INFORM4TI0N
r.
x�
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:
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.Blease consult witfiyour Homeowners 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ ssee/Contractor as Agent for Owner .Signature of Contractor/License Holder
STATE OF FLORIDA 1 STATE OF FLORIDA
COUNTY OF ,S& COUNTY OF
The forgoing instr ent w,as acknowledged before me The forgoing instrument was acknowledged before me
this day of US'i` 201E by this day of 20_ by
Name ofp6rson making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Idejtificati n Type of Identification
Produced 't-L- L/ Produced
TISIgure of No a Public-S ate of F�q(�t ,) nature of Notary Public-State of FloridaJason Hen NCO 2�� ea = �# ission No. (Seal)
Explres:Febrw 23,2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.