HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
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 APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 7106 Georges Rd, Fort Pierce, FL 34951
Legal Description: Lakewood Park- Unit 12- Elk 162 LOT 4 and w 1/2 of lot 5 (map 13/12s)(or 593-2340)
Property Tax ID #: 1301-614-0139-000-5 Lot No. 4 & 1/2 of 5
Site Plan Name: Block No. 162
Project Name: Volta - 10957154
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 9 Windows Size for Size -IMPACT GLASS
N OA #'s:
Single Hung; #17-0630.05
Horizontal Rolling; #17-0411.08
CONSTRUCTION INFORMATION:
Additional wor to jepe orme un er t is permit —check
�HVAC I _I Gas Tank Gas Piping
a a apply:
❑_ Shutters
Z Windows/Doors
Electric ❑ Plumbing
Sprinklers
1:1 Generator
E]Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 15883
Utilities:cnSewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Angela Volta
Name: Roberto Sanchez
Address: 7106 Georges Rd
Company: The Home Depot
City: Fort Pierce State: FL
Zip Code: 32951 Fax:
Phone No.
Address: 6500 NW 12th Ave, Suite 110
City: Ft, Lauderdale State: FL
Zip Code: 33309 Fax:
Phone No. 407-469-5599
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: robertosanchezthd@expeditepermit.com
State or County License: CGC1522717
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
#0N: LIEN LAW #N FORMATION..
SUPPLEMENTAL CONSTRUCT -
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:
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 an applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult any
hpyour 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commenciniz work or recording your Notice of Commencement.
Y/
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The for oing instrument was acknowledged before me
this day of JA&-) , 20 20 by
Roberto Sanchez`
(Name so cknowledgin )
(Signature of Notary Public- State of Florida )
Personally Known y` OR Produced Identification
Type of Identification Produced
Commission No. 6G 17,
Revised 07/15/2014
U P&c Notary Public State of Flori
? AP* nPnnic R (,n(icP.v
e My Gornmission GG 124343
' W,� Expires 08/25/2021
.10/
s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF l3�n'�
The forgoing instrument was acknowledged before me
this 3 { day of -S-4 N , 20 - -7o by
Roberto Sanchez
(Name rson acknowled ing')
(Signature of No ary Publi ate of Florida
Personally Known OR Produced Identification
Type of Identification Produced
mission No. 66 / 2(�
o pv Notary Public State of Flo
Dennis R Godsey
-c y ornmission GG72=
10F W Expires 08/25/202'4I
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