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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�(� c Date: ZD Permit Number: .�-�v�~©_©2_5 Id3f vL--5 R ® 2 2020 -- Building Permit Applicatio6y ST. LE�cie Count , 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: PROPOSED IMPROVEMENT LOCATION: Address: 226 Marina Dr. Fort Pierce, FL 34949 Property Tax ID#: 1425-701-0117-000-3 Lot No.3 Site Plan Name: Coral Cove Beach Section One Block No. 5 Project Name: FDETAILED DESCRIPTION,OF WORK: Replace front door, rear garage exit door and back bathroom door with fiberglass impact rated 6 panel doors Install PGT Impact windows and slider for entire home CONSTRUCTION INFORMATION: Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters Xwindows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: 2696 Sq. Ft.of First Floor: 2696 Cost of Construction:$ 19,000.00 Utilities: —Sewer —Septic Building Height: OU1lN'ERAESSEE: ""YCONTRACTOR Name William H Powell Name:Don Hinkle Address:226 Marina Dr Company:Don Hinkle Construction Inc City: Fort Pierce State: Address:219 Hunt Ave. Zip Code: 34949 Fax: City: Fort Pierce State:FL Phone No.856-364-2146 Zip Code: 34946 Fax: 772-467-1348 E-Mail: Phone No 772-528-2249 Fill in fee simple Title Holder on next page(if different E-Mail donhinkle@bellsouth.net from the Owner listed above) State or County License CGC-036040 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 LIEN LAW INFORMATION: 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 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 thepermit 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." Signature of Q41 as Agent for Owner Signature of Contractor/License Holder STATE OF-FLORIDA STATE OF FLORIDA tj. COUNTY OF � , . )(°�1f COUNTY OFI 11011F. The forgoing instrument was acknowledged before me The forgoing instr ment as acknowledged before me this day of_ = 20�by this day of 2� by hot' 6-k 1f1 til l ky r° Name of person makingstatement. Name of person making statement. Personally Known 1// OR Produced Identification Personally Known .1/ OR Produced Identification Type of Identification Type of Identification Produced Produced Cly (Si ature o otary Pu lic-State of Florida) (Signature of Notary Public-State of Florida "" KAREN S. NIELEN, Commissio Q�PaYP KAREN S. NI[ � N Commissi NAY'L =o �; a e o orida-Nottary ublic ;zo ida-Notar Commission #GG 207484 ;. Commission # GG 207484 ne 12, 2022 �'%i°;,`, June 12, 2022" REVIEWS RVISOR PLANS NGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.2/7/19