HomeMy WebLinkAboutBuilding Permit Application 96906Z7
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
11'=D J>a� :J Permit Number:
Date: RECE
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 APPLICATION FOR: Window/door
PROPOSED`I�NIPROUEME( T LOCATION
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Address: 3100 N A1A 706 Fort Pierce, FL 34949
Legal Description: SANDS ON THE OCEAN-SECTION 1-UNIT 706 (OR 3875-972)
Property Tax ID#: 1425-606-0028-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Algeciras,#9690623
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK
Replacing 4 doors and 3 windows size for size with impact.
CONSTRUCTION INFORMATION q , �a
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Additional work to e e orme un ert is permit—checka apply:
E1HVAC Ei Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: DD,,ee S Ft. of First Floor:
Cost of Construction:$ OC�9�-�7 • Utilities Sewer 0Septic Building Height:
,OU1/N ER`JLESSEE 'g CONTRACTORS F 6
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Name Pablo Algeciras Name: Edward guillory
Address:3100 N Al 706 Company: The Home Depot At Home Services
City: Fort Pierce State:FL Address: 6500 NW 12TH Ave.Suite 110
Zip Code: 34949 Fax: City: Fort Lauderdale State.FL
Phone No.(954)591 -5825 Zip Code: 33309 Fax:
E-Mail: Phone No. (754)224-2010
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: CGC1507093
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Il
SUPPLEMENTAL CONSTRi1CTtfJNi.IENLAW tN'FURMATiON ! � ' :
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:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF F'LSTATE OF
Af
COUNTY OFO(�tU.0 COUNTY 0FOR1,T
The forgoin instrument was ack owledged before The forgging inst ment was acknowledged before me
me this day of 20 16 by this a rday of CPA&4Z, ,20 16 by
Edward Guillory 1 Edward Guillory
(Name of per o acknowle Bing) (Name of pets n acknow ing)
nature'of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Ile
ally Known x OR Produced Identification Personally Known x OR Produced Identification
f Identification Produced Type of Identification Produced fix n Oission No. Era70t3 (Seal) Commission No. !r:::.:F0J?a4 3y (Seal)
52
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Revised 07/15/2014 0
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