HomeMy WebLinkAboutBUILDING APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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V h �L � Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Vlrginla Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax. (772) 462-1578
PERMIT APPLICATION FOR:
Address: 7106 Winter Garden PKWY Fort Pierce, FL 34951
Property Tax ID #: 1301-613-0117-000-2 Lot No. 4
Site Plan Name: Block No.
Project Name: dames P McKecknie ; Anna M McKecknie
DETAILED DE CR1PTICN F WORK:
Replace 10 Windows W/Impact. Size for Size
New Electrical Meter Second Electrical Meter
COUSTRUCT`M0N I!N ORMATI 0 N.--
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors Pond
— Electric — Plumbing w Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 14,485 Utilities: —Sewer _ Septic Building Height:
OWNERILESSEE.
CONTRACTOR:
Name
Name: WAYNE T. BURNETT
Address: WCA r
Company: FHIA, LLC
City: T` L cct Z State: V74-
Address: 3801 SW 30th Ave.,
Zip Code: _ti �5.1 Fax:
City: Hollywood, State: FL
Phone No.� � 2 •
Zip Code: 33312 Fax:
E-Mail:
Phone No 407-9898701
Fill in fee simple Title Holder on next page ( If different
E-Mail Lmartinez@FHIAREMODELING.COM
from the Owner listed above]
State or County License
•• ';Z v• bVlli�l ua.aW11 ".... VI nwrC, Q --n- eu rwuce of 6ommencement 1s required.
If value of HAVC Is $7,5W or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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.
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencing work or recopding vour Notice of Commencement.
10 A
r as Agent for Owner
Holder
STATE OF FLORIDA STATE OF FLORI A
COUNTY OF 5N . I COUNTY OF ' L L u_ r
Sveo n to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this � day of ..�4t" 202q by`.""
Name of person making statement.
10
Personally n OR Prciucsttd�rntificatidrr`�"
Type of I fication = .e. • ; w
Produ 4GG957480 =
g%„' p� !ia Und
NotaN Public- State of F*1 )c. jip m?r
(Seal)
Sworn to (or affirmed) and subscribed before me of
. � Physical Presence or Online Notarization
this day of �202Q by
Name of person making statement. . pt N7o �Xti
Personals nown OR Produced IIAntification
Type of
7entification---
ix,G 957d8�
Produ d
of Notary Public- State of Florida
(Seal)
REVIEWS
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SUPERVISOR
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VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/b/ZU