HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/20/19 Permit Number:
Planning and Development Services
Building and Code Regulation Division
230oVirginia Avenue, Fort Pierce FL34g8z
Phone: (772)4G2 1553 Fax: (772)452157O COUlr0erCialResidential X
PERMIT TYPE: WINDOWS
PROPOSED IMPROVEMENT LOCATION:
Address: 7902 CITRUS PARK BLVD, FORT PIERCE, FL 34951
Property Tax |D#: 1801-607-0140-000-3 Lot No. 8
Site Plan Name: LAKEWOOD PARK Block No. 7S
JAN1EGL|CO|DNE
Project Name:
DETAILED DESCRIPTION OF WORK*
REPLACE 3IMPACT GLASS WINDOW SIZE FOR SIZE
NDA1B-043O.O8 NOA17{]830.10
Additional vvorktobeperformed under this permit –check all that apply:
Total 3q. Ft of Construction: 10X08
Cost of Construction: 4504
Generator Roof Phzh
Sq. Ft. ofFirst Floor: 1008
Utilities: —Sewer __Septic Building Height: 12'
OWNERAESSEE.
CONTRACTOR:
Company: THE HOME DEPOT
Address: 7902 CITRUS PARK BLVD
City: FT PIERCE State:
Address- 6500 NW 12TH AVE #110
Zip Code: 34951 Fax:
City: FT LAUDERDALE State: FL
Phone NO. 772-464-8194
Zip Code: 33309 Fax: 407-3748-6681
E -Mail:
Phone No 407-378-6681
Fill in fee simple Title Holder on next page if different
E -Mail richie.roberts@expeditepermit.com
from the Owner listed above)
State or County License CGC1522717
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
ESI N/ N IN E e Not Applicable MORTGAGE COMPANY:
Name: Name:
Address: Address:
City: State: City:
Zip: Phone Zip: Phone:—
Not Applicable
Not Applicable
OWNER/ CONTRACTOR A I VIT: 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
I G T E a YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT Y RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR E TY. A NOTICE OF COMMENCEMENT U T BE RECORDED AND
POSTED
p, THE J SITEBEFORET E FIRST INSPECTION. I YOUR
U INTEND T OBTAIN FINANCING, CONSULT
IT O LENDER EY BEFORE RECORDING YOU!NOTICE OF COMMENCEMENT."
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FEE SIMPLE TITLE HOLDER- Not Applicable
BONDING COMPANY.
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
Not Applicable
Not Applicable
OWNER/ CONTRACTOR A I VIT: 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
I G T E a YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT Y RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR E TY. A NOTICE OF COMMENCEMENT U T BE RECORDED AND
POSTED
p, THE J SITEBEFORET E FIRST INSPECTION. I YOUR
U INTEND T OBTAIN FINANCING, CONSULT
IT O LENDER EY BEFORE RECORDING YOU!NOTICE OF COMMENCEMENT."
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF T® I C i
STATE OF FLORIDA
COUNTY OF uct
The forgoing instrument was cknowledged before me
this day of 40L , 20 by
The for oing instrument was acknowledged before me
this day of C. 6-t", 20 by
f T
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
Produce
Produced _
iepoberis
.� PWLIG
govLI �v A-rr- OF V:Lcou
(Signature of Notary Public- State of Fla ' i� Robots
(Signature of NotaryPublic- Sta r
Commission No.T Y IG
- FLORID/-\
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Commission No. k®(Sar
Expires
REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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