HomeMy WebLinkAboutBuilding Permit ApplicationAll 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
P RE M IT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 9616 Crooked Stick Ln, Port St Lucie, FL 34986
Property Tax I D #: 3327-711-0015-000-4 Lot No$
Site Plan Name: Block No.
Project Name: DANIEL OR SHERRY FINLEY
DETAILED DESCRIPTION OF WORK:
REPLACE AND INSTALL l IMPACT DOOR, 1 WINDOW
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric —Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 12,750
_ Sprinklers _ Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE: - -
NameDAN1EL OR SHERRY FINLEY_
Address: 9616 Crooked Stick Ln _
City: PORT ST LUCIE State:
Zip Code: 34986 Fax: _
Phone No.(847)404-8446
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: Toby Tokes
Company: Armorvue Window & Door
Address:1000 Clint Moore Road Suite 109
City: Boca Raton _State:FL
Zip Code: 33487 Fax: 561-826-9180
Phone No 561-988-2444
ail Permitsgarmorvue.com
State or County License SCC131151529/CRC1330842
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.
10
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: _
Add ress:
City: T
Zip: Phone
Not
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City: —
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City: -
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
_Not Applicable
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 priorto the issuance of 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 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 St. 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WIT_77a
ORAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:
Signatufe u wner/ Lessee/Cortractor as Agent for Owner
STATE OF FLO ID
COUNTY OF
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