HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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: 4804 Silver Oak Dr, Fort Pierce, FL 34982
Property Tax ID #: 3402-606-0223-000-2 Lot No.2
Site Plan Name: Block No.
Project Name: Susan Zimmer or Lynda Gibbons
DETAILED DESCRIPTION OF WORK:
Install 6 Impact windows
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all thatappiy:
_Mechanical —Gas Tank —Gas Piping — ShuttersWindows/Doors
Electric — Plumbing —Sprinklers — Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 10,160 Utilities: --Sewer _Septic Building Height-
OWNERAE5SEE: CONTRACTOR:
Name Susan Zimmer or Lynda Gibbons Name: Ronald Heath
Address:4804 Silver Oak dr Company: Max Guard Hurricane'Windows LLC
City: Fort Pierce State: FL Address:2253'Vsta Pkwy, Ste 12
T
Zip Code: 34982 Fax: ,City: West Palm Beach 5tate:FL
Phone No.772-979-4771 Zip Code: 33411 Fax:
E -Mail: docsuzanCaaol.com Phone No 561-276-7100
Fill in fee simple Title Holder on next page (if different E-MailRheathC;maxguardhurricane.cam
from the owner listed above) State or County License SCC131151738
If value of construction is $25x 1 or more, a RECORDED Notice of Commencement is required.
If value of KNAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Add ress:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 certifythat 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 holderto build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenantsthat 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 5t. Lucie County Amendments.
The following building permit applications are exemptfrom 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 .HIB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WrM YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:
signature o caner/ L�see/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ; , L ? COUNTY
Theorgoing instru� t as acknowledged before me
this ay of —, 2Q by
Name of person making statement.
Personally Known, OR Produced Identification—
Type of Identification
Produced—�
{signature of Notary Public -
Commission No.
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
The forgoing instrument was acknowled ed before the
this day of 2] Z.by
Name of person making st ement.�
Personally Known_ OR Produced Identification
Type of Identification
Produced
)EI':EEAi -McifR0 - - - - -�If nature of Notary Pubic- State of
-
fYC0 MISSICIN,:GGa� 2
�EXPII2ES: July 25,2Q mission No.4�
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SUPERVISOR PLANS VEGETATION SEA TURTLE
REVIEW REVIEW REVIEW REVIEW
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EXPIRLS: July 25,
MANGROVE
REVIEW