HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:%6` k--k Permit Number:
Ei
CEIVI'jD
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-- - Building Permit Applica2 9 �;�
Planning and Development Services Building and Code Regulation Division unty, Fern�icring
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE: WINDOW REPLACEMENT
PROPOSED IMPROVEMENT LOCATION:
Address: 1205 PARKLAND BLVD. FT. PIERCE, FL 34982
Property Tax ID#: 3409-703-0147-000-4 Lot No.2
Site Plan Name: Block No. 23
Project Name:
DETAILED DESCRIPTION OF WORK:
WINDOW REPLACEMENT r�,q� �6 /Jl�[�J,t7ccJy d D�° 1J�S L PELT
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _ indows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$
� � Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name WILL H STEPHENS JR. Name:GARY WHIGHAM
Address:P.O. BOX 431806 Company:SOUTH FLORIDA ALUMINUM PRODUCTS
City: BIG PINE KEY State:_ Address:4807 SO US HWY 1
Zip Code: 333043 Fax: City: FT. PIERCE State:FL
Phone No. Zip Code: 34982 Fax: 772-466-1074
E-Mail: Phone No 772-466-0913
Fill in fee simple Title Holder on next page(if different E-Mail SFAPBOOKS@SOFLALUM.COM
from the Owner listed above) State or County License CRC1330712
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.
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:
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 RESU T IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMEN ST B RECORDED AND
POSTED ON TH OB ITE BEFORE THE FIRST INSPECTION. IF YO TEND OBTAIN FI ANCING, CONSULT
WIT RM0UR DER O AN ATTORNEY BEFORE RECORDING YO N CE COMMENCE NT."
Si,g e of Ow Lessee/Contractor as Agent for Owner Signature of Contractor/L nse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
Thefo Ing instrume t wips acknowledged before me The fo ing instar n w s acknowledged before me
this day of 20 by thisa day of r� 20 by
GARY WHIGHAM GARY WHIGHAM
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
49gnature f Not ry�pRU�I1C=5- f > f_r1rUT1' (Signature f No P;;hlir-Ctnro,Fs1
;ip•. •.c�;:
MARY ANN MA
TONTl ``•YoJ _ 1�7.�RY ANN IUTATONTI
Commission No. =�. RdY COMMISP610)#FF953138 Commission No - NIMISSIC�IlHl�i;t953138
EXPIRES January 24.2020 'rte oP�' EXPIRES January 24.2020
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev.2/7/19