HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
August 8, 2019 Permit Number:
Date: 9
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RECEIVE®
Building Permit Application gEP 1311 2019
Planning and Development Services
Permitting Department
Buildingand Code Regulation Division p
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2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)'462-1553 Fax: (772) 462-18 Commercial Residential X
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PERMITTYPE: Window
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Address: 11000 S Ocean Dr 2-11
Plroperty Tax ID #: 4512-701-0019-000-2 Lot No.
Site Plan Name: Block No.
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Iroject Name: Franco - Windows
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Replace all windows and doors. l
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fQS FRIT[tNIN�?RI1T(N,:
Additional work to be performed under this permit — check all that apply:
I _Mechanical _Gas Tank _Gas Piping _Shutters -X Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 8,000.00 Utilities: —Sewer _Septic Building Height:
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Name Cobia Franco
Name: Scott J. Holmes
Address: 1,1000 S Ocean Dr. 2-11
Scott J. Holmes Building, Inc.
Company: 9�
Jensen Beach _
City: State:
Address: PO Box 2804
Zip Code:'34957 Fax:
City: Jensen Beach State:Fl
Phone No.772-678-9123
Zip Code: 34958 Fax: 772-220-3722
E-Mail:
Phone No 772-220-4780
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Fill in fee simple Title Holder on next page ( if different
'E-Mail-holmesbuild@yahoo.com
State or County License CGCO55859
from the Owner listed above)
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.
L81Ml ENLIEN I.AW INl=RMAT[t�N�
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. 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 COMMEN EMENT MUST BE RECORDED AND
P STED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEP TOTAIN FINANCING, CONSULT
YVITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YQU EMENT."
Siglidure of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ` r 41
The for oing instrum nt was ack wledged before me
this
/r - day of/^' , 2012by
( /L)J 4 A2J (I G
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
Signature of Not ry Pubfi - State of FI
/
Commission N�(y ��Z
Signature of Contractor/License Holder
STATE OF FLORI
COUNTY OF XA �Z�17 �_J
The for mg instru�pent was acknowledge fore me
this / ay of 140 . 20 � y
;dame of per o /making ftatement.
Personally Known OR Produced Identification
Type of Identification
Produced
of Notar-v Public-
It;��ERINE L. MCCO �6 mission
otary Public -State of FI tISI
Commission # GG 332401
Aori110 2020 Uzi
REVIEWS FRONT
COUNTER REVIEW
DATE
RECEIVED
COMPLETED
VEGETATION S4kl;;T�
REVIEW REVIEW REVIEW REVI
orida
KATHERINE L. Mi
Notary Public -State
Commission # GG
y Commission