HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 \� I as Permit Number:
A4 RECEIVED
JAN 14 900
Building Permit Appli tlppCounty, Permitting
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: Window and sliding glass door replacements
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Address: 1200 Fleetwood Lane
Property Tax ID#: 3404-806-0004-000-1 Lot No. 4
Site Plan Name: Driftwood Manor Section One Block No. N/A
Project Name: Rodney Leggett
DETAILED DlESRIPTlON OF
WOR
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Remove and replace (15) windows and (1) sliding glass door
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CONSTRUCTION INFORMATION; � � "'
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 2400.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE " CONTRACTOR `
Name Rodney,Leggett Name: Rachel M.Thornton
Address: 1200 Fleetwood-Lane Company: TRust Construction, Inc..
Fort PiErce V ' '6007,Citrus,Ave.
City: State.: Address:
34982�.:���-�-=-� .�. ... ..- - -�c��� �� `Fc�f"�'i�'rc``a""�"`",�"�„_'�,.�,;�.`;�"�."�`� F
Zip Code: Fax: City: Mate:
Phone No. 772.464.7836 Zip Code: 34982 Fax:
E-Mail: leggettrodney@ymail.com Phone No (772)370-0785
Fill in fee simple Title Holder on next page(if different E-Mail trustco2007@bellsouth.net
from the Owner listed above) State or County License CGC1512590
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 C0N:STkUCT1'0N LI LAW INF , MAT[01
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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: X 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 OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
'fwd M. IA" MA�
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OFFLORIDAORIDA Harfl/1 COUNTY OF FLORIDA
COUNTYO
The forging instru t was acknowledged before me The for oing instru nt was acknowledged before me
this�day of u 20� by this day of 2070 by
H. ]t91AiVW1
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known d/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
o,Pw "��• AMORINA L Z
r,;, o ,•, AMORINA PLAZA
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(Signature of ,N ISt@SPr9 sfWW4020763 (Sign it 'dry t
�'•.;�Fo�„o?�'' My Comm.Expires. ec 10,2020 ''•',;FOF„o?.� My Comm:Expires-Dec 10,2020
Commission N. Com I)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19