HomeMy WebLinkAboutbuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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: 2403 Melon Ct
Legal Description: Orange Blossom Est- Sec ADDN Blk 4 Lot 2
Property Tax ID #: 2421-605-0025-000-7 Lot No. 2
Site Plan Name: Block No. 4
Project Name: Lynch 10962981
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 3 Windows Size For Size IMPACT GLASS
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name Cody Lynch
Name: Roberto Sanchez
Additional work to bertormed under
Gas Tank
this permit — check
F]Gas Piping_
all that appy:
Shutters
Windows/Doors
City: Ft, Lauderdale State: FL
Zip Code: 33309 Fax:
Phone No. 407-469-5599
HVAC
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
❑ Electric ❑ Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
SFt. of First Floor:
Cost of Construction: $ 3669
Utilities:cnSewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Cody Lynch
Name: Roberto Sanchez
Address: 2403 Melon Ct
Company: The Home Depot
City: Fort Pierce State: F�
Zip Code: 34982 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.
FFF.PLEMENIALCONST
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
t,
Not Applicable
State:
Not Applicable
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 first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of , 20 by
Roberto Sanchez- -
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF t LA t, 1'e
The forgoing instrument was acknowledged before me
this '? day of tACrCA , 20 9-0 by
Roberto Sanchez
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally KnownOR Produced Identification
Type of Identifica ion Produced
Commission No. (Seal) Commission No. 96A3:r4 Ile (Seal)
t,;rSiey Ram",
NOTARY PUBLIC
. STATE OF FLORMA
Revised 07/15/2014
♦�L.n '~ `? �cmm# GG235648
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