HomeMy WebLinkAboutBuilding permit appAll 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 x
PERMIT APPLICATION FOR: Window Replacement permit
PROPOSED IMPROVEMENT LOCATION:
Address: 5803 Palmetto Drive, Fort Pierce, FL 34982
Property Tax ID #: 3402-607-0036-000-7
Site Plan Dame:
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove (3) windows from bay area and install (3) new impact single hung windows
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 39/40
Block No. 10
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank — Gas Piping _ Shutters /Windows/Doors Pond
Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Richard & Frances McGlenn
Name: John Jacobs
Address: 5803 Palmetto Drive
Company: John Jacobs Construction Inc.
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City: Fort Pierce State:
Address:4701 Oleander Ave.
_
Zip Code: 34982 Fax: 772466-6491
City: Fort Pierce State: FL
Phone No. 772-882-8334
Zip Code: 34982 Fax:
E-Mail:imiacobs4701@gmaii.com
Phone No 772-882-8334
Fill in fee simple Title Bolder on next page ( if different
E-Mail imlacobs4701@gmail.com
from the Owner listed above)
State or County License CBC060421
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If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _-___. 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.
1 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the tobsite before the first inspec+i^n. If „o � in+nnA }^
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with lender or an attorney before commencing work or recording • our NotWcz kn„
Signature of wner/ Les a /Contractor as Agent for Owner
Signature f Contractor ense Hol er
STATE OF ORI �_
COUNTY OF Sur L L< C I
STATE O FLORIDA
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S rn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
S orn to (or affirmed) and subscribed before me of
� Physical Presence or Online Notarization
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Name of person making statement.
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