HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
s
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: 2964 ADMIRAL ST, FORT PIERCE FL 34982
Legal Description:MARAVILLA PLAZA BLK 12 LOT 8 AND N35 . 5 FT OF LOT 10 (0 . 33 AC)
PropertyTaxlD#: 2421-802-0169-000-3 Lot No. 10
Site Plan Name: Block No. 12
Project Name: 2000797
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK!
REPLACE 12 WINDOWS & 0 DOORS WITH IMPACT. SIZE FOR SIZE.
CONSTRICTION INFORMAT.fON-
Additional work to be nerformed under this permit—check all apply:
aHVAC Gas Tank Gas Piping Shutters ✓❑Windows/Doors
_
Electric ❑ Plumbing Sprinklers Generator F] Roof Roof pitch
Total Sq. Ft of Construction: 12 0 5 Ft.of First Floor:
Cost of Construction:$ 17, 415 Utilities:Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR!
Name ANTHONY MULL Name: MAURYSIO DOS SANTOS
Addre§s: 2964 ADMIRAL ST. Company: FHIALLC
City: FORT PIERCE State:FL Address: 3044 SW 42ND STREET
Zip Code: 34982 Fax: City: HOLLYWOOD State:FL
Phone No. 7 7 2—2 9 3—14 6 9 Zip Code: 33312 Fax:
E-Mail: MULLM33@GMAIL.COM Phone No. 954-884-8500
Fill in fee simple Title Holder on next page(if different E-Mail: PERMITS@FHIAREMODELING.COM
from the Owner listed above) State or County License: CGC 1519 92 2
If value of construction is$2S00 or more,a RECORDED Notice of Commencement is required.
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: 1 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�ermit 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 onsult with !ender or an orney b fore
com encin w rk or ordin our Notice of Commence a t.
Af
Signature of owner Lesse ntractor as Agent for Owner Signa re of Contractor/Llc $e H (der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF S T . LUC I E
The forgoing instrument was ac cnowledged before me The forgoing instrument was acknowledged before me
this_1_S day of L 20 2 II by this 10 day of MAY 20 21 by
MAURYSIO DOS SANTOS
(Name of person acknowled ' ) (Name of person acknowledging)
(Si atur _ (Signatur Public-State of Florida)
rp�* •° LAUREN BI KINS
Personall "Woubw w8wias ication
Type of I dduc�� Type I atiayoitity�d F�
Commissi °F '' MY CnflNll.Exp ne 9,2021 Com tih� ,� HH 1011" (S I}
--Erg
40
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS