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HomeMy WebLinkAboutBuilding Permit Applicationi . 't.1 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: © '05r) Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772j 462-1553 Fax: (772) 462-1578 Commercial Residential L// l PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Address: 5003 S Indian River Dr, Fort Pierce, FL 34982 Property Tax ID #: 3401-602-0001-010-8 Lot No. Site Plan Name: Block No. Project Name: Edward or Hilda Kline DET,AILED.DESCRIPTION-OF WORK: Install 4 Impact windows, 3 SGD's, and 1 Dbl Entry Door CONSTRUCTION INFORMATION: Additional wolrkto 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: $ 259500 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE, l CONTRACTOR: NameEdward or Hilda Kline Name: Ronald Heath Address:5003 S Indian River Dr Company: Max Guard Hurricane Windows LLC City: Fort Pierce State: FL Zip Code: 34982 Fax: Phone No.561-315-3125 Address:2253 Vista Pkwy, Ste 12 City: Vest Palm Beach State FL Zip Code: 33411 Fax: Phone No 561-276-7100 E-Mail: kline1949@yah..com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-MailRheath@maxguardhurricane.com State or County License SCC131151738 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. JCf'ION LIEN ENGINEER: _ Not Applica Name: Address: City: State Zip: Phone FEE SIMPLE(TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: i MORTGAGE COMPANY: Not Applicable .Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Name: Address: City: Zip: Phone: JWNER/ 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 holderto build the subject structure which is in conflict with any applicable Horne Owners Association rules, bylaws or and covenantsthat 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 IDI11 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: MA Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF ;tMI DA =� COUNTY 0A V1,_1-s- The forgoing instr ent was acknowled�,e before me thisLdayof ��_, 20 I , by Name of person making statement. Perso ally Known OR Produced Identification Type Identification Prod ced - gnaiture of votary on N KIMBF?W,)A. PEOPLES Notary ublic. State of Florida My Comm. expires Sept. 14. 2021 REVIEWS I FRONT ZONING SUP COUNTER REVIEW REVIEW DATE RECEIVED DATE COMPLETED S n u e of Contractor/License Holder STATE OF FL�A COUNTY OFF (T The rgoing in ument was acknowledged before me thi day 20E by Name of person making st ement. Person Ily Known OR Produced Identification Type o Identification Produ ed (Si nature of ry Pu lic-S tq+QffapridRl}MBERLY A. PEOPL otar Public, State of Flor Commission N]] r1K expires Sept. 14, Ccmm,ssion Number GG1e3 PLANS REVIEW I VEGETATIEVIEWON I SEATURTREV EWLE I MREV EWVE