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HomeMy WebLinkAboutBuilding Permit Application 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 34982 Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Address: 2631 Conifer Dr,Ft.Pierce,FL 34951 Property Tax lD#1:J?J3 4 " 502 - 00 8-+ - 00© 3 Lot No. 20 Site Plan Name:Mon C.! 4 0 G o LAl..Y)'-`bU G1(,(, "1, 1 t+:r O (04 Block No. Project Name:Joe I(rchnak DETAILED DESCRIPTION OF WORK; Install Hurricane Protection Products 011 1 ) 1} to A CONSTRUCTION INFORMATION: { Additional work to be performed under this permit-check all that apply: Mechanical "Gas Tank —Gas Piping YShutters —Windows/Doors `'/Electric _Plumbing Sprinklers —Generator. _ Roof Pitch Total Sq.Ft of Construction: Sq.Ft.of First Floor: Cost of Construction:$8719.71 Utilities: —Sewer Septic Building Height: OWNERAESSEE: CONTRACTOR: NameJoe Krchnalc Name:Brian hist Address-2631 Conifer Dr Company:Storni Smart Building Systems City:Ft. Pierce State:CL Address:6182 Idlewild St Zip Code:34951 Fax: City:Kort Myers State:FL Phone No.(772)577-1111 Zip Code:33960 Fax:884-330-8277 E-Mail:JOEK@KRCHNAKRE.COM phone No 561-229-0048 Fill in fee simple Title Holder on next page{If different E-Maly'Sa►cuela@StormStuartSE.cofii from the Owner listed above) State or County License CRC056857 If value of construction Is$2500 or more,a RECORDED Notice of commencement is required. If value of HVAC Is$7,500 or more,a RECORDED Notice of Commencement is required. i SUPPLEIItIENTAL CC}It15TRUC7'1C11V LIEiV LP�U'V tNl Q.. MAT16 DESIGNER/>: ( INEER Not Applicable MpR1GAGE COMPAAIY: Nat Applicable me: . Name: Address: Address. ..........._.....: City: .. . State: City: 5fiafe Ztp: Phone Zip: Phone: FE£SIMPLE TITLE HOWER" _:NotApplicable BONDING COMPANY; ... No Name: Name: Address... Address, City: City: : Zip P}rotie: Zip: Phone: .... OWNER/CONTRACTOR AFFIDVIT4. Apo,lication.is hereby made to obtain.a permit to do the work and instaIlationas indicated. 1 certify that no work:or�nstallatfon has cornmenced prior to tie issuance of a permit. 5t.Lucie icto makes.no representation that it.granting a permit will authorize the permit holder to build the subject sstriieture which is in coil ict with any appl..cabld1iome Owners Assonation:rules,bylaws or and covenarttstha may restrict or pro such. structure.Please corisalt wdh your Hone:OwnersAssociation and review yourdeed for ariy restrictions which ma..y.apply, In consideration oftfie granting:ofthis.requested permit,i do hereby agree that1will,in all.respects performthe work in:accardarrce:Wtth the:approved plans,the Florida SuiTdirg Codes and$f;_Lucie CtiuntyAitieiidments T ie.foilowmg;b.uilding:permd applications are..exempt from undergoing a full concurrency'review:room additions, accessory structures;swimming pools,fences;walls,slgns,.screen rooms and accessary uses to another noxi-residential Ilse, WYARNING TO OWNE.t! TOOR:FAILURE;TO. RECORD A NOTICE.OF COMMENCEMENT MAY RESULT IN'YOUR:PAYING TWICE FOR 1MPlROVENENTS TO YOUR PROPERTY. A NOTICE OF COMMomic ENT MUST BE RECORDED .AND POSTED 64 THE:JOB SITE BEF111RE THE FIRST INSPECTION. IF YOU,INt£ENp TtA OBTAIN I�NAN C,iCON3ULI WITH:YOUR LENDER OR AN:AT ORIi;NEY BEFORE RECORDING.IrO @ Na7ICE;OF C 11U4E.NCENt£NT''0 _: Si R3net a of:Oner/LesseContractaras Agent for Owrer Signature of ContractorjMLicens' — ..._. ._. ... HgTdcr� ' 1TATt OF FLORWA , STATE OF FLORIDA COUNTY OF 1R$GCOUNTY OFClr The.forgoing instrurnentwas acknowledged before me The fo going lnstrument:was acknowledged before me this day of }'� :26 L O by #his day df M�-, ZtJ by � 6 PYCh Y)d;l Naitte of Person making stateffiM. Name of person mak(ng statement, Personally Known. ...-.. [1R Produced identification .. Personally Known. �.Oft Produced Identficatioii:_Y Type.of Identificcation Type of Identification Produced P duced (signature: o POM-s3ateofjF Tido)y'esenia 5arzueia 51 atoreof Notary Poll&Stat 'af ride} f NOTARY PUBLIC: Comtnissior(No ` I, 1'7 (Seal) NATE OFFLOR{D ;Com :fission No, �i �:7.��IQ �a Comm#`GG311412 REVIEWS FRONT ZONING SUPERVISOR PLATYS VEGETATION- SEA TURTLE Il+TA GR01,E COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW 'REVIEW DATE _... _ :...... RECEIVED...... DATE .. :.. —COMPLETED :2/ Lur