HomeMy WebLinkAboutBryant Permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
0000111
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COUNTY
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Planning and Development Services
aullding and Code Regulation Division
230014i'Vinio Avenue, Fort Pierce fL 349g2
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE;
PROPOSED
Permit Number:
Building Permit Application
Commercial Residential
Address: 6255 Arlington Way Fort Pierce, FL 34951
Property Tax ID 11P.1312-502-0086-0 "
Site Plan Name: LotNo185
Project Name: Dennisor Edith Bryant Block No.
DETAILED DESCRIPTION OF WORK:
Install 14 Impact windows and 2 Doors
CONSTRUCTION INFORMATION:
Additional work to be Performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: S 35,998 Utilities: _ Sewar _septic
OWNE VLESSEE:
NameDenuls or Edith Bryant
Address:625S ArUngton Way
City, Fort Pierce
State: FL
Zip Code: 34951 Fax:
Phone No.901-517-2008
E-Mail• no email
RII In fee simple Title Holder an next page ( If different
from the Owner listed above)
CONTRACTOR:
Windows/Doors
— Roof Pitch
Building Height:
Name: Ronald Heath
Company: Max Guard Hurricane Windows LLC
Address:2253 Vista Pkwy, Ste 12
City: West Palm Beach
State:Fl_
Zip Code: 33411 Fax:
Phone No 561-276-7100
E-MailRhealh@mat guardburricane.com
State or County License SCC131151738
If vakrc of to/lst+tx:tlan Is S2S00 or more, a RECORDED Notla er
tf value of NVwC Ic $7,500 or man, a RE t --stncereant Is ret
CORDED Noce of Commaacament Is nqulred,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Address:
City. State:
ZIP: Phone
FEE SIMPLE TITLE HOLDER: _ NOt
Address:
Qtv:
ZIP: Phone:
MORTGAGE COMPANY: Not
Address:
State:
ZIP Phone:
BONDING COMPANY:
Address:
city'
ZP Phone: -—
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and Instafation as Indicated.
I certify that no work or Installat;on has commenced prior to the issuance of a permit.
structure.
,orant) cOvenaontst at many restrict gr prohibRauch
deed for any restrictions which may apply.
In consideration of the granting of this requested Pem't, I do hereby agree that I will, in al respects, Perform the work
In accordance with the approved plans, the Florida Building Codes and St. Lude County Amendments.
The following building permit applications are exemptfrom undergoing afull concurrency eMew: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residenVal use
6WARNEW TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTNI OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
WFFM YOUR LENDER ING NDER OR AN ATTORNEY BEFORE RECORDYOUR Nnyars, nc HNANONG, CONSULT INA.
no
Signature of Owner/ Lifie m ctor as gem for owner SignatuContractor/License Molder
STATE OF FpR�A
COUNTY OF
The ing irtstru was knowledg before me
this dayoFnm _.2t}�Gby
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NaMeofPerson maldngrta mem. ,
Personalty Known OR Produced Idemifiation
Type of Ielental wion
Dar
The forgoing instru nt w admowiadggp pafore me
this � day of 2,,�4 by
Name of person making stmmem.
Personally Known 1/ OR Produeed
Type of identification
- - , \ - - -- ° r - e. r - - t-) I (Signature of Notary ublk- Starte of Florida l V
Commission No. _ (Sea:)
Commission No. (Seal)
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