HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
r.N)L`Fo LU(911E
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION.
Address: 3403 Sloan Road, Fort Pierce, FL 34947
Property Tax ID #: 2405-715-0017-000-6
Site Plan Name:
Project Name: Joan Johnson
DETAILED DESCRIPTION OF WORK:
Install 14 impact windows
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
Electric
_Gas Tank
_Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 21,400.00
Gas Piping
_Sprinklers
Shutters
_Generator
Sq. Ft. of First Floor:
Residential
Windows/Doors
Roof
2
Block No.
Utilities: _Sewer _Septic Building Height:
Pond
Pitch
OWNER/LESSEE. CONTRACTOR:
Name Joan Johnson Name: Scott Berman
Address: 8 Rio Verde Way Company: Florida Window & Door
City: Port St. Lucie State: _ Address: 1125 N Dixie Highway
Zip Code: 34952 Fax: City: Lake Worth State: FL
Phone No. 772-361-3958 Zip Code: 33460 Fax:
E-Mail: pendantsbymurray@gmail.com Phone No 561-3404300
Fill in fee simple Title Holder on next page ( if different E-Mail I howard@floridawindowanddoor.com
from the Owner listed above) State or County License 28576
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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Signature of Contrac or icense Holder
Signature Owner/ see/Contractor as Agent for Owner
STATE F FLO�RI�DA
STATE OF FLORIDA
COUNTY OF �k . �JG�
COUNTY OF Palm Beach
Sw n to (or affirmed) and subscribed before me of
Swo n to (or affirmed) and subscribed before me of
Ph�sical Pre nc QQr Online Notarization
Ph sical Presgnce or. Online Notarization
this day of %) 2020 by
thi Z. day of Vf &Jag w29i9- by
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Joan Johnson
Scott Berman
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known x OR Produced Identification
Type of Ident' icattip
Type of Identification
Produced C.
Pro ed_
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(S at a of tart' Public- Sta e��f F�c�rrda�)� �s � �
(Signature of Notary Pu ic-�tratg of filmi0pub1io state of Florida
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`�� �!s iISA iA E CARF.`4V
° Carol A HammerSla
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Commission NO. � 1K� )I (Ai[SSIONkUU`r� IW
commission No. S Expire/2023
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PLANS
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MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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