HomeMy WebLinkAboutBuiding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
0`'
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE:
Address: 3221 River DR Fort Pierce, FL 34981
Property Tax ID #: 2430-502-0059-000-6
M
Lot No. 59
Site Plan Name: 3221 River DR Fort Pierce, FL 34981 Block No.
Project Name: Minh -Tam A Frye; David Frye
Replace 11E Windows and 2 Doors Wllmpact. Size for size,
Additional work to be performed under this permit —check all that apply:
Mechanical
_ Electric
'total Sq. Ft of Construction:
Gas Tank
Plumbing
_ Gas Piping
Sprinklers
_ Shutters
_ Generator
Sq. Ft, of First Floor:
X Windows/Doors
_ Roof Pitch
Cost of Construction: $ 1J=jC,1SS" Utilities: Sewer _Septic Building Height:
,. SEE;
Ci7Nit" TOt"t:
Name Minh -Tam A Frye ; David Frye
Name: BURNETT WAYNE
Address: 3221 River QR
Company: FHIA, LLC
City: Fon Pierce _ State: FL
Address: 3044 SW 42 ST
Zip Code: 34981 Fax:
City: HOLLYWOOD State: FL
Phone No. I /,-I Ise? r' H k I y
Zip Code: 33312 Fax: 407-4728380
E-Mail:_&Y L a q 1 � Q haT MA. /. c, o P.
Phone No 954-7924415
Fill in fee simple Title Holder on next page ( if different
E -Mail odandopermits@fhaproducts.com
from the Owner listed above)
State or County License FI
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 LOEN'LA INPORMAmh:
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 certifythat no work or installation has commenced priorto 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
m WARNING TO OWNER: YOUR FAILURE TO RECORD A N077CE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. ATICE COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INE` Y INTEND TO OBTAIN FINANCING, CONSULT
WIT H YOUR LENDER OR AN ATTORNEY BEFORE RE R[' ` G F TIE OF COMMENCEMENT."
of Owner/
as Agent for Owner
Contractor/License Holder
STATE OF FLORIDA�1 STATE OF FLORIDA
COUNTY OF S� �c t COUNTY OF 51uc
The forgoing instrume t was acknowledged before me
this Z k day of 20Z- by
Name of p rson making statement.
Person y Known W OR Produc ation
Type Identification �
Pro ced
ure of otary Pub
StateP
Commission No. fa reall
m
ftArr.
c'
REVIEWS I FRONTI ZONING
COUNTER REVIEW
RECEIVED
COMPLETED
The forgoing instrumeg� was acknowledged before me
this 7 -day of _ 'J C�^•20- by
Name of person making statement.
Personal
Type o�4,
of
Commission No.
OR Produced Identif on
Public- State of Flc
pu a
SUPERVISORI PLANS I VEGETATION I SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW