HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date ``k ajzj Permit Number:
RECEIVED
0
Building Permit Application JAN 0 9 20,
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
Address: 8002 Kenwood Road,Ft.Pierce,FL 34951
Legal Description: LAKEWOOD PARK-UNIT 5-BLK 49 LOT4(MAP 13102S)(OR 838-1320)
Property Tax ID#: 1301-605-0236-000-7 Lot No.
Site Plan Name: Brown Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
sD_ETAILEDDESCRIPTION�FINORK
Replace existing windows
12 �-V
,13-ONSTRUUri QNrINFORtVIATICrN� - T
itiona wor to e ertormea un er t s permit—cheCK all that appy:
HVAC Gas Tank QGas Piping _Shutters ✓Z- Windows/Doors
1JElectric Plumbing Sprinklers 10 Generator Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ LV2 5, a C� Utilities:�Sewer Septic Building Height:
Name Brown,Edward L Name: Daniel W Beard ^
Address:8002 Kenwood Road Company: Vero Glass&Mirror
City: Ft.Pierce State:FL Address: 1669 Old Dixie Hwy
Zip Code: 34951 Fax: City: Vero Beach State:FIL
Phone No.772-200-9974 Zip Code. 32960 Fax: 772-562-1474
E-Mail:ebrown9447@gmail.com Phone No. 772-567-3123
Fill in fee simple Title Holder on next page(if different E-Mail: danb@veroglass.com
from the Owner listed above) State or County License: SCC131151280
If value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
ORMATI0 i
SUPPLEMENTAL CONSTRUCTION9LIE LAWrINF
DESIGNER/ENGIIIEER: _No Applicable MORTGAGE COMPANY: _Not Applicable
Name: I I Name: .
Address: I Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _N t Applicable ONDING COMPA( Y: —NotApplicable
Name: ame• II
Address: ddress:
City: ity•
Zip: Phone: ip: Phline:
I certify that no work or Installation has corr menced prior to the Iss jance of a permit.
St.Lucie County maks no representation th it is granting apermit ill aut prize the perms holder to build the sub ect structure
which is in conflict w th any applicable HomeOwners Association ru es,bylaws or and cove ants that may restrict r prohibit such
structure.Please co ult with your Home 0 ners Association and review your deed for an restrictions which may .pply.
In consideration of 1:1 e granting of this requested permit,I do hereb e agree that I will,in all respects,perform the M ork
in accordance with theapprove plans,theFlorida Building Codes and St.Lucie County Am ndments.
The following buildlr� permit applications a exempt from undergoing a full concurrency r view:room additions,
accessory structures swimming pools,fence ,walls,signs,screen r oms and accessory us to another non-reside tial use
WARNING TO O NER:Your failure t Record a Notice of ommencement may esult in your paying ice for
improvements to your property.A N tice of Commence ent must be recor ed and posted on t ie jobsite
before the first i spection..lf you int -id to obtain financ ng,consult with lender or an attorney before
commencing wok or recording our gotice of Commen a ent.
S
Signature of Owner/Lessee/Agent 5 ghajOe ofro-ntractor/I icense Holder
STATE OF FLO ( A STATE OF FLORIDA
COUNTY OF COUNTY OF "c„s� °V PS
The forgoing Instru ent was acknowledge!before me a forgoing Instr ment was acknowledged before me
this�day of 20 by t is day of a3� 20 .(1._b
I
CL
(Name of person ac nowledging} ( ame of person acknov ledging l
� ` I
(Signatu=Known
Public-State of Florida} igna ure of Notary Pu lic-State of Florida}
PersonalOR Produced Id ntificatlon Personally Known OR Produced Identifii:ation
Type of Identification Produced pe of Identification Pr duced
43WO Stephanie Gordon ��dor Seal
Commission No. NOTARY Pt}BLIC Commission No.
STATE OF FLORI A
i
E;xplres.1015=3 1;p` Brien Sartain
Revised 07/15/2U14 My Commissio GG 296871
Expires 01130/023
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