HomeMy WebLinkAboutBuilding Permit Applicaiton All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c�
Date: 2/13/2020 Permit Number: 6vn D
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Building Permit Application, l�
Planning and Development Services "'c�tr�n 1019
Building and Code Regulation Division ��s�4).
2300 Virginia Avenue, Fort Pierce FL 34982 `' enF
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
PERMITTYPE: Door
PROPOSED IM PROVE MEN,TWCATI.ON„ $e
Address: 4949 N Highway AIA 42
Property Tax ID#: 1414-602-0002-000-6 Breakers Landing Unit 42 Lot No.
Site Plan Name: McKinney Sliding Glass Door Block No.
Project Name: Sliding Glass Door
DETAfLED DESCRIPTI0N:0F WORK. . xjw
Replacing 1 Sliding Glass Door with Impact Rated Products
CONSTRUC
T 1,0NMAT
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _;Generator _Roof Pitch
Total Sq. Ft of Construction_: Sq. Ft. of First Floor:
Cost of Construction:$ ! " !' l• Utilities: _Sewer _Septic Building Height:
QWNE'R TESSEE ,..` �' COIVTRACfOtR
Name Susan Blair McKinney& Lisa Kong McKinney Name: William H. Miller
Address: 4949 N Highway Al Apt. 2 Company: ODonnell Impact Windows and Storm Protection
City: Hutchinson Island, FL State:_ Address: 6402 SE Federal Hwy j
Zip Code: 34949 Fax: City: Stuart State:FL
Phone No. 757-331-0785 Zip Code: 34997 Fax:
E-Mail: Phone No 772-408-0200
Fill in fee simple Title Holder on next page(if different E-Mail odonnelipermitting@gmail.com
from the Owner listed above) State or County License CGC035934
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.
I
.'SUPPLEMENTAL CONSTRUCTION LIE AW INFORMATI,ON.;
DESIGNER/ENGINEER: _2tp
licable MORTGAGE COMPANY: _Not plicable
Name: Name:
Address: Address:
City: State: City: State: 1
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE H DER: _Not Applicable BONDING COMP Not Applicable
Name: Name: I
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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NER/CONTRACTOR AFFIDVIT: Application is hereby ma a 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 THg JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INT ND TO OBTAIN FINANCING, CONSULT
WI H YOUR,kEKDER OR AN ATTORNEY BEFORE RECORDI YOR 1 F COMMENCEMENT."
NUffiture f O r/Lessee/Contractor as Agent for Owner §gfifiurve of a for/License Holder
STATE OF FL STATE OF FLO
COUNTY OF.M ,__, COUNTY OF
The fo airig iT�str nt was acknowledged before me The fo kda,,instr gent was acknowledged before me
this day of 20�by this of 20 by
kh i I i axn �-, PA i W oii_� 0110 A Im 11 I
Name of person m=oduced
nt. Name of person makinggs ement.
PersonallyKnown Identification Personall Known ✓ OR Produ d y Produced Identification
Type of Identification Type of Identification
Produced Produced
1A IX4A MLA IAL/v4A
(Signof Nota a (Signature of otary P tate of
3 ollnm. GG366562 6 Allen
Commission No. 30,2023 Commission No. E . CAe
Cc om � 36 5�i
301
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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