HomeMy WebLinkAboutBuilding Permit ApplicaitonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 4907 Eagle Dr Fort Pierce, FL 34951
Permit Number:
Building Permit Application
Property Tax ID #:13 Q, YGL -oc'A ct -ou> - _
Site Plan Name: 4907 Eagle Dr Fort Pierce, FL 34951
Project Name: Kent Joseph, Ahem
DETAILED DESCRIPTION OF WORK:
Replace '&Windows W/Impact. Size for size.
t1
CONSTRUCTION INFORMATION:
Commercial Residential X
Lot No. Z J,6
Block No.
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: _
Cost of Construction: $ 19,766
Sq. Ft. of First Floor:
Utilities: — Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Kent Joseph, Ahem
Name: BURNETT WAYNE
Address: 4907 Eagle Dr
Company: FHIA, LLC
City: Fort Pierce State: FL
Address: 3044 SW 42 ST
Zip Code: 34951 Fax:
City: HOLLYWOOD State. FL
Phone No. Z • -3 3 Z -6W
Zip Code: 33312 Fax: 407-4728380
E-Mail:
Phone No 954-7924415
Fill in fee simple Title Holder on next page (if different
E-Mail oriandopermits@fhaproducts.com
from the Owner listed above)
State or Coun :te 1
IT value or conslrucuon is tiisuu 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: T 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 NO E IR F COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSP INTEND TO OBTAIN FINANCING, CONSULT
WI1TH YOUR LENDER OR AN ATTORNEY BEFORE RECO - >>ZITICE OF COMMENCEMENT."
X��L �/ Z�� -
Signature of Owner/,tessee?Confractor as Agent for Owner
Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF__ S W ove JCOUINTYOF
The forgoing instrument was acknowledged before me
this day of _ G(�f , 20* by
Name ofd6erson making statement.
Ily Known OR Produced tij
idft
!d
to Notary Public- State of FI
se«c
Commission No. �4 sad
REVIEWS I FRONT I ZONING
COUNTER REVIEW
RECEIVED
DATE
COMPLETED
The forgoing instrument was acknowledged before me
this _?L day of D%f 20_j6�rby
a[ . ( U
Name of Wson making statement.
Perso y Known _� OR Produced Id� IdJP'�`n _C$
Type f Identification „F2, �rt�
Pro u ed gyp O
_A
W1gDaUw9ZWotarV Public -State of Fllorida )Q3 R
Commission No. cg (deal)
SUPERVISREVIEWOR I REVIEW PLANS I VREVEWON I SEEV EWLE I M EVIEWVE