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Date: 2/14/2020 Permit Number:
M 777 7717: RECEIVED
Building Permit Application FEB .14 2020
Planning and Development Services ST. Lucie County, Permitting
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-IMPROUEIVIENT LOCATION
Address: 201 Hartman Rd, Fort Pierce FI 34947
Legal Description: 7 35 40 N 140FT OF S 354.3 FT OF W 330 FT OF 355 FT OF NE 1/4 OF SEI/4 LESS RD RMI-(1.06AC)(160B)
(OR 845-2471:902-1927)
Property Tax ID#: 2407-414-0002-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION,O,F WORK . v
Replace one window on back of house(West side)with PGT impact resistant
CONSTRUCTION IN
U
e
Additional work to be nertormed under t is permit—check a appy:
HVAC Gas Tank ❑Gas Piping OGenerator
Shutters Windows/Doors
nElectric Plumbing Sprinklers Roof Roof pitch
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2300.00 Utilities:0 Sewer 0 Septic Building Height:
O-WNERAESSEEA.. 4 p CONTRA' CTOR:r
Name Gregory Roslow Name: Kevin Firestone
Address:201 Hartman Rd Company: Firestone Construction Inc
City: Fort Pierce State:FL Address: 2183 S Brocksmith Rd
Zip Code: 34947 Fax: City: Fort Pierce State:FL
Phone No.772-464-2853 Zip Code: 34945 Fax:
E-Mail: Phone No. 772-216-9379
Fill,in fee simple Title Holder on next page(if different E-Mail: firestoneconst@gmail.com
from the Owner listed above) State or County License: CGC1510180
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTTAL CONSTRUCTION,LIEN-,LAW INFORMATION;;
DESIGNER/ENGINEER: x—Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the firs inspection. If you intend to obtain financing, consult with lender or an attorney before
commencin orkorre"crdingvour Notice of Commencement.
S
Signature of Owner/Lessee/Contractor as Agent for Owner ignature of ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 6x. L-%)c Ve COUNTY OF Sk
The forgoing instrument was acknowled e$before me The forgoing instrument was acknowledged before me
this %I\_day of-_ C�r- 2by this \1\ day of V-k-6 20-`b by
1c+oJ Vk k6yt,-e- t�'aVN,`Q
(Name of person acknowledging) (Name of person acknowledging)
' e
(Signature of Notary Public-State of Florida) (Signature of Notary Pub ic-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced r�,P c_
,nf�„�--- c.��1NAMA , X73
Commission No.C' D ok4�4doN#GGo.2.n ::= Commission N _ a m EnNNAMARIE[
;1F�i a
MMISSION G x'.2723
MY C ecem
"= EXF'1RES:D �dernrt j: ;
ro`- Igotzty eublic tl }, :o; EXPIRES:December iG,2020 {i
y9 1�
Revised 07/15/201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS