HomeMy WebLinkAboutBuilding Permit Application3 v C'CD
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 349B2
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 4949 N Highway A1A, Fort Pierce, FL 34949
Legal Description: Breakers Landing unit 171
Property Tax [D#: 1414-602-0062-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Hood 10963090
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 6 Windows And 1 Door Size For Size IMPACT GLASS
CONSTRUCTION INFORMATION:
Additional work toep❑
er Orme under this permit — check a appy:
❑HVAC Gas Tank Gas Piping �_ Shutters a Windows/Doors
11 Electric ❑ Plumbing []Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 15995
S Ft. of First Floor:
Utilities: Sewer []Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Lee & Carina Hood
Name: Roberto Sanchez
Address: 4949 N Highway Al
Company: The Home Depot
City: Fort Pierce State: FL
Zip Code: 34949 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.
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• Not Applicable MORTGAGE COMPANY: Not Applicable
GNERJENG[NEER. ._.. pp
Name: Name:
Address: Address:
State: City: State:
City: _
Phone Zip: Phone:
Zip • ,
FEE SIMPLE TITLE HOLDER: Applicable BONDING COMPANY: Not Applicable
. - Not pp
Name: Name:
Address: Address:
City: City:
•
Zip:
Phone Zip: Phone:
OWNER/ CONTRACTOR AFFpp
1DVIT: 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.
• - no representation that is granting a permit will authorize the permit holder to build the subject structure
St. Lucie County males p - Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
which is in conflict with an applicable n restrictions which may apply.
structure. Please consult with your Home Owners Association and review your deed for y
In consideration of the granting
ntin 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.
p P
The following
buildingpermit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming poolsools fences, walls, signs, screen rooms and accessory uses to another non-residential use
,
YARNING TO 0WNER. 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 FONANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOVICE OF COMMENCEMENT.
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Sig
nature of Owner/ Lessee/Contract r as Agent for Owner Signature of Contractor icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 4:S�T_ L (.,A.0
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instrument was acknowledged before me The forgoing instrument was acknowledged before me
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Name of person making statement.
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(Signature of No ary Public- State of Florida
Commission No. (Seal)
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