HomeMy WebLinkAboutBuilding permit application i
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: / L Permit Number: 6 (4 (0
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-- Building Permit Application
Planning and Development services ;I
Building and Code Regulation Division -
2300 Virginia Avenue,Fort Pierce FL 34982
L Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMITTYPE:WINDOW
PROPOSED IMPROVEMENT LOCATION:
Address: 7904 Hibiscus Rd. Fort Pierce, FL. 34951 I
Property Tax ID#:'l 301-605-0207-000-5 Lot No. 7
Site Plan Name: Block No. 48
Project Name:
DETAILED DESCRIPTION O.E;INORK:
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Install ( 1 ) Non-Impact window—EX .-z5�fori-r,
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CONSTRUCTION-I N FORMATION:
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank Gas Piping _Shutters _Windows/Doors
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_Electric _Plumbing _Sprinklers _Generator —Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: 250.00
.$ Utilities: _Sewer Septic Building Height: �
.0"" E'R/LESSEE: ;CONTRACTOR:
Ter and Kathleen Blum Jeremiah Johnson
Name �Y Name: �• I
Address:7904 Hibiscus Rd.. Com an JBR Exteriors, Inc.
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City: Ft. Pierce, FL. State:_ Address:1201 SW Biltmore St. II l
Zip Code: 34951 Fax: City: PSL State:FII
Phone No. Zip Code: 34983 _ Fax: ,.
E-Mail: Phone No 772-873-0600
Fill in fee simple Title Holder on next page(if different E-Mail infoQbrexteriors.com
from the Owner listed above) State or County License CBC1260687
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.
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SUPPLEMENTAL-CONSTR`CT ION..QEN_.LAW-INF- ATIQ.'' .- _-
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: ^Not Applicable
Name: Name: . i
Address: Address: .I
City: State: City: State: �I
Zip: PhoneZip: 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 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.Pfease 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 our Notice of Commencement.
Joe
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Signature f Owner/Less /Contractor as Agentfor Owner Signature of C ntractor/Lice a Holder
COUNTY OF FLORIDASTATE OF ��� COUNTY OF STATE OF FLORIDA a:(.LAC t-�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 9j day of OVAN ,202o by this 1-1 day of C'(W ,20?f�, by
d��nl�� � py1CSw� a� ChAJ
Name of person making statement Name of person making statement
Personally Known)_OR Produced Identification Personally Known f OR Produced Identification
Type of Ide(ltfff Type of Identification
Produced l Produced
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(Signature i s (Sign't to n o late of Florida
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Joshua Shane Alberico
o't0�4G Notary Pyblic State of FJe� Comm! I ` MY commission rra S l
Commissio l� ^ Alberlbo�') 020879
�+4 of w xp res 08/18/2020
ospA' ExplCres 08/18/2020 ommission GG OZ0879
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17