HomeMy WebLinkAboutBuilding Permit Application r
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Z. a. Z!p Permit Number:2x—
RECEIVED
- Building Permit Applica ion MAR 17 2020
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578' Commercial Residential x
PERMITTYPE:WINDOWS
P,RPr"
PQSED_
IR/IPhROVEMEIVT LOCATION
Address: 6609 FORT PIERCE BLVD.-FT. PIERCE, FL. 349514
Property Tax ID#: 1301-607-0195-000-3 Lot No.11
Site Plan Name: Block No. 71
Project Name:
DETAILED DESCRIPTION QEF WQRK � �° L � � f t
P 4 'c.
INSTALL( 1 1 ) NEW IMPACT WINDOWS
CONSTRUCTION INFORMATION: K
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
,Tota l Sq. Ft of Construction: 2459.0n Sq. Ft.of First Floor:
Cost of Construction:$ Utilities: —Sewer —Septic Building Height:
3 w -
'�OWNEf2/LESSEE
NameWESLEY AND PHYLLIS CAUDILL Name:JEREMIAH JOHNSON
Address:6800 RHINEVIEW CT. Company:JBR EXTERIORS, INC
City: DAYTON, OH State:_ Address:1201 SW BILTMORE ST.
Zip Code: 45459 Fax: City: PSL State:FL
Phone No. Zip Code: 34983 Fax:
E-Mail: Phone N0772-873-0600
Fill in fee simple Title Holder on next page(if different E-Mail info@jbrexte(ors.com
from the Owner listed above) State or County License CBC1 260687
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 INFORM TTpNil
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,l 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
commencing work or recording our Notice of Commencement.
Signature/6f Owner/Less /Contractor as Agent for Owner Signature of C ntractor/Lice a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ;:fjT. LL L'i L COUNTY OF yT Zuel�
The forgoing instrument was acknowledged before me The forgoing instrument w s acknowledged before me
this day of r _ 202 by this day of f�d)-, '. 2020 by
Name of person making statement Name of person;naking statement
Personally Known ,k'— OR Produced Identification Personally Known-�� OR Produced Identification
Type of Identification Type of identification
Produced Pro
(Signature of to (Si natu o Notary
e�av Py,,, Notary Public State of Florida C#w PL Notary Public State of Florida
Commission o = Joshuz��le Alberico x Commission No. Joshua St lbedco
My Commission GG 020879 My Commission GG 020879
FOF ftio� Expires 08/16/2020
�d Expires 08/1612020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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