HomeMy WebLinkAboutBuilding Permit Application All 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:Windows / Doors
PROPOSED IMPROVEMENT LOCATION:
Address: 9610 Knollwood Ln, Ft Pierce,fL 34951
Property Tax ID#: 1327-701-0017-000-1 Lot No.47
Site Plan Name: Block No.
Project Name: Nee
DETAILED DESCRIPTION OF WORK:
Replace 8 windows size-for-size with impact
...:CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters indows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Marsha+John Nee Name: Roberto Sanchez
Address:9610 Knollwood Ln Company:The Home Depot
City: Ft Pierce State: Address:2455 Paces Ferry Rd
Zip Code: 34951 Fax: City: Atlanta State:GA
Phone No.814-932-7979 Zip Code: 33039 Fax:
E-Mail:event@nb.net Phone No 754-224-2010
Fill in fee simple Title Holder on next page ( if different E-Mail robertosanchezthd@expeditepermit.com
from the Owner listed above) State or County License CGC1522717
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.
1.
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NABNTEA RU: L�PE I ;
: :
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: 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. 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
G-
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S, *. L u._t j. CO U NTY O F -- ,L Lx t L._
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this c day of 20� by this 4— day of'*xCo-� ,20 ,by
Name of person making statement. Name of person making statement.
• ,� n
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
�p Aaron Hallich o� y Aaron Haflich
0-TAR X 011(Signature o Notary Public �.��0E OF FLORIDA (Signature of Notary Public-Stat i NOTARY
W o _STATE OF FLORIDA
i Comm#GG951577 �-"
Commission No. -r '7 �g1� Commission No. — f 41 '' � � �GG951577
O� `�s 1/27/2024
Expires 1/27/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19
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