HomeMy WebLinkAboutBUILDING APALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
sue....-
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/door
PROPOSED IMPROVEMENT LOCATION. -
Address: 5902 KILLARNEY AVE, FORT PIERCE FL 34951
Legal Description: LAKEWOOD PARK UNIT 2.
Property Tax ID #: 1301-613-0027-000-4
Site Plan Name:
Project Name: 1159416
Setbacks Front Back:
Right Side: Left Side:
REPLACE 8 WINDOWS & 2 DOORS WITH IMPACT. SIZE FOR SIZE.
Lot No. 27
Block No. 137
CONSTRUCTION INFORMATION.
Additional work o e orme un er is permit — check a appy:
[IHVAC 11 Gas Tank ❑Gas Piping _ Shutters �✓ Windows/Doors
❑ Electric ❑ Plumbing OSprinklers ❑ Generator F]Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 24,239
S Ft. of First Floor: _
Utilities:11 Sewer ElSeptic
Building Height:
OWNERAESSEE:
CONTRACtOR:
Name JAMES RAIVELY
Name: WAYNE THOMAS BURNETT
Address: 5902 KILLARNEY AVE.
Company: FLORIDA HOME IMPROVEMENT ASSOC.
City: FORT PIERCE State: FL
Address: 3D44 SW 42ND STREET
Zip Code: 34951 Fax:
City: HOLLYWOOD State: FL
Phone No. 856-305-2407
Zip Code: 33312 Fax:
E-Mail: JHRAIVELY2@PGMAIL.00M
Phone No. 954-792-aa15
Fill In fee simple Title Holder on next page ( if different
E-Mail: PERMITSOFHAPRODUCTS.COM
from the Owner listed above)
State or County License: CGC#061890
f1 value of construction is $i . QU or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X 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 financ' g, orI'��gult with lender or an attorney before
commencing work or recording vour Notice of Commen tl\ A
r as (tent
STATE OF FLORID
COUNTY OF 9 r L��t
The forgoing instrumegt was acknowledged before me
this ' ? day of ,fJeC 20 Eby
06rim/n ga'tlelll
(Name of person acknowledge )
(Signature of Notary P lc -
Personally Know
Type of identification ro uS
Commission No.
Revised 07/15/2014
of Florida )
Produced Identification
NAY CM SSION 4 GG095745
E 5 April 19, 2021
ntractor/License H
STATE OF FLORIDA
COUNTY OF 5-7" LuC
The forgoing instrument was acknowledged before me
this 2'r day of ArZ 20 1. by
WAYNE SHOMAS BURNETC
(Name of person acknowledging)
(Signature of Nolic- State of Florida )
Personally Known l" / OR Produced Identification
Type of Identification Pro
.4Aq PVw ,,. MIGUEL. A M
ERUAUV
Commission No. ' A ,.F aav r:nUMISSiCf1%#;0I;095745
EXPIRES April 19, 2021
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