HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED O 1 s
Date: /0- 7 Permit Num
no-Z ' D
OCT 7 2019
-� Building Permit Appli ation
Planning and Development Services Permitting [department
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: Windows replacement & Exterior wall section repairs
Address: 2704 Juanita Ave, Fort Pierce, FL 34946
Property Tax ID#: 1432-806-0004-000-2 Lot No. 136
Site Plan Name: Block No.
Project Name: McClain-ST Lucie Housing Rehab bETA1L'ED
Replace windows with Impact Resistant ones.
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Additional work to be performed under this permit–check all that apply:
_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: 1,342 sqft
Cost of Construction:$ D• 0 Utilities: —Sewer _Septic Building Height:
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Name Edith McClain Name:Jose De La Hoz
Address: 2704 Juanita AveCompany:DE LA HOZ BUILDERS, INC.
City: Fort Pierce, FL State:_ Address:258 Del Monte Rd
Zip Code: 34946 Fax':, City: Sebastian State:FL
Phone No.772-626-6782
Zip Code: 32958 Fax: 772-589-8127
E-Mail: Phone No 772-228-9723
Fill in fee simple Title Holder on next page(if different E-Mail hilda@delahozbuilders.com
from the Owner listed above) State or County License CGC1514151
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPRLEMENTA`L CONSTRUCTION-LIEN LACN"A flORiVI9I0�N sj$
DESIGNER/ENGINEER: x 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 OFC4MWR
CE ENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FllT INSPECTION. IF OU INTEND OBTAIN FINANCING, CONSULT
WITH YOUR LENDER O AN TTO NEY EF E RECORDI OTICE F MENCEMENT."
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Les e o t a o as Agent for Owner Signature o ice se Holder
ATE OF STATE OF FLORI
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The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 0 Z day of-_ 0 CTO 6 C-t 20 /9 b this 3 day of 0� 20� by
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Name of person making statement. N e of person making statement.
Personally Known ✓ OR Produced Identi ica�k Personally Known ?�
Type of Identification Xv 0 = Type of Identification 00 pyo Notary Public State of Florida
Produced m Produced =° �'� Cheryl Ann Zappola
(Ay commission GG 143502
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(Siature of Notary Public-State of Florida) c T (Signatur f otaryPublic- at of orida)
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Commission No. FF9y94.7 (Seal) 8 a N Commission No. (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19