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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
r ,R
- �''
C ii! Y ��
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 X
PERMIT TYPE:
I PROPOSED IMPROVEMENT LOCATION: I
Address: 2401 Trowbridge RD Fort Pierce, FL 34945
Property Tax ID #. 2224-121-0030-000-5 Lot No.
Site Plan Name: 2401 Trowbridge RD Fort Pierce, FL 34945 Block No.
Project Name: John W Thomas Jr ; Rena S Thomas
DETAILED DESCPIP'f(ON OF WORK.
Replace 'Windows and 1 Door Wllmpact. Size for size.
CONSTRUCTION MFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters X Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 21.147
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
COI TFAC'TOR:
Name John W Thomas Jr ; Rena S Thomas
Name: BURNETT WAYNE
Address: 2401 Trowbridge RD
Company: FHIA, LLC
City_ Fort Pierce State: FL
Address: 3044 SW 42 ST
Zip Code: 34945 Fax:
City: HOLLYWOOD State. FL
Phone No.7R.4 L- %k- 9Y1Lf
Zip Code: 33312 Fax: 407-4728380
E-Mail:
Phone No 954-7924415
Fill in fee simple Title Holder on next page ( if different
E-Mail odandopermds@fhiaremodeiing.com
from the Owner listed above]
State or County License FI
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.
.SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
ENGINEER: X
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: FORT LAUDERDALE State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: Name:
Address: 3N4 sw 42 sT 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 Count 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�p n ult with lender or an attorney before
commencing wor Ine vour Notice of ComrrllenaL+amlzrlt_�
)_� Ujk;�� N
�a
Signature of Ow r/ Lessee/Contractor as Agent for Owner
S18&tuPfi of Contractor/License Holder
STATE OF FLORID
STATE OF FLORIDA
COUNTY OF �� L•6YZ
COUNTY OF sL . L.x.K.
The forgoing instrument w s acknowledged before me
The forgoing instrume t was acknowledged before me
this WZ day of , 20 20 by
this f day of JUA 20__?,o by
Name of perso aking statement
MOR
f p rson making statement
Personally Known Produced Identification
PersonOR ProIj�ll cation
/Kn����i`
Type of entification
TTyopde ocation 10 00R
p, .. �
Produced
(Signature of u ic-
KINS
nature o otary Pub li Stilt of4dows"
Commission q; '= MY COMMISSIOH119448
'
Commission No.''• tic �����
• �o. a,, EXPIRES July 02.2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17