HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 7406 Lakeland BLVD Fort Pierce, FL 34951
Property Tax ID#: 1301-607-0010-000-3 Lot No. 10
Site Plan Name: Block No. 70
Project Name: MCCULLEY
DETAILED DESCRIPTION OF WORK`:
REPLACE 12 WINDOWS SIZE-FOR-SIZE WITH IMPACT
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Z41Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 16460 Utilities: —Sewer _Septic Building Height:
QWNER/LESSEE:, CONTRACTOR:
Name EILEEN MCCULLEY Name:Roberto Sanchez
Address:7406 Lakeland BLVD Company:The Home Depot
City: Fort Pierce State:-EL Address:2455 Paces Ferry Rd
Zip Code: 34951 Fax: City: Atlanta State.GA
Phone No. (772)834-9005 Zip Code: 33039 Fax:
E-Mail:erml946@hotmail.com Phone No 754-224-2010
Fill in fee simple Title Holder on next page(if different E-Mail robertosanchezthd@expeditepermit.com
from the Owner listed above) State or County License CGC1522717
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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DESIGNER/ENGINEER: _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.
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 attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee Contractor as Agent for Owner Signature of ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF "<, COUNTY OF Lakt
S6wn to(or affirmed)and subscribed before me of Sv�o�n to(or affirmed)and subscribed before me of
X. Physical Presence or Online Notarization 1C Physical Pres nce or Online Notarization
this a day of AV!�L S - 202� by this J_ day of 202�Ob
Name of person making statement. '�'' =�
:_>.• <•: Name of person making statement.
Personally Known OR Produced I t" p�tio'n Personally Known OR Produced Ide i0 cati?d�i
tic'o
Type of Identification o Type of Identification
Produced �a Produced o�
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(Sign of rotary Pub-Tic-State of Florida) ��d y�� (Signa e of Notary Public-State of Florida )
Commission No. uN 1U/S1r7 (Seal) G �'y�� Commission No. HH 1075 17 (Seal)
REVIEWS FRONT ZONING SUPER PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. /20
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