HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED h K )/ QQ
Date: Permit Number: r.105' /5U
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 TYPE: Replace windows, sliding glass door with a French door, and garage door
Address: 3603 Avenue O, Fort Pierce, FL 34947
Property Tax ID#: 2405-601-0396-000-6 Lot No.6 &7
Site Plan Name: Block No. 22
Project Name: Singleton-Windows& Doors
Replace windows with non-impact windows
Replace Sliding glass door with a French door non-impact
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CONSTRUCTION;INFORMATION � �, �� � � � F
Additional work to be performed under this permit—check all that apply:
_ Mechanical _Gas Tank _ Gas Piping _Shutters X Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 1,508 sqft living area Sq. Ft. of First Floor: 1,508 sqft
Cost of Construction: $ 10,500.00 Utilities: —Sewer —Septic Building Height:
f31t1/NE'R�LESaEE CONTRACTt) ry T
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Name Edith Singleton Name:JOSE DE LA HOZ
Address:3603 Avenue O Company:DE LA HOZ BUILDERS, INC.
City: Ft Pierce , FL State:_ Address:258 Del Monte Rd
Zip Code: 34947 Fax: City: Sebastian State:FL
Phone No.772-342-0587 Zip Code: 32958 Fax: 772-589-8127
E-Mail: Phone No 772-228-9723
Fill in fee simple Title Holder on next page(if different E-Mail hilda@delahozbuilders.com
from the Owner listed above) State or County License CGC1514151
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.
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DESIGNER/ENGINEER: x 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.
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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,
i 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 IM7EJ
�ORE
YOUR PROPERTY. A NOTICE OM EMENT MUST BE RECORDED AND
j POSTED O. - THE FIRST INSPE YOU INT ND . OBTAIN FINANCING, CONSULT
WITFI YdU LEORNEY BEFORE REC DING OU OTIC O MMENCEMENT."
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Signature of Owner/Less e/C ntr for as Agent for Owner Signature of C n act /Li nse Holder
STATE OF FLORIDA a STATE OF FLOR A
COUNTY OF rc�I Y1 COUNTY OF - n �
The forgoing instrumept was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20-2-1- by this day of 20_2 f by
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Name of person making statement. Name of person making statement.
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Personally Known OR Produced Identific io Lea Personally Known OR Produced Identific iorA Ia�-�'
Type of Identification o ry -2 Type of Identification o a
Produced - L [_ "' Produced
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(Signature of Notary Public-State of Florida) Y 4 o (Signature of Notary Public-State of Florida) Z"�
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Commission No. K3 (Seal) Z Commission No. p a (Sea aa>`; ;o,o
REVIEWS FRONT ZONING l)t 1 VISO PLANS VEGETATION SEA TURTLE MAN R E
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COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
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