HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
4 Q xf r .
.z
Permit Number:
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
PERMIT APPLICATION FOR:
Commercial
LPROPOSED IMPROVEMENT LOCATION:
Address: 5715 Sunset BLVD Fort Pierce, FL 34982
Property Tax ID #: 3402-609-0448-000-4
Site Plan Name: Dennis Gore; Judy H Peters
Project Name: 5715 Sunset BLVD Fort Pierce, FL 34982
DETAILED DESCRIPTION OF WORK:
Replace 2 Windows W/Impact, Seze for Size.
Residential X
Lot No. 10 AND 30
Block No. 64
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check
all that apply:
—Mechanical r Gas Tank , Gas Piping
_ Shutters X Windows/Doors Pond
_ Electric ` Plumbing _ Sprinklers
_ Generator Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 4,100 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Dennis Gore; Judy H Peters
Name: BURNETT WAYNE
Address; 5715 Sunset BLVD
Company: FHIA, LLC
City: Fort Pierce, State: FL
Address: 3801 SW 30th Ave.,
Zip Cade: 34982 Fax:
City: Hollywood, State: FL
Phone No. 305-767-6677
Zip Code: 33312 Fax: 407-4728380
E-Mail: dennis—gore@yahoo.com
Phone No 954-7924415
Fill in fee simple Title Holder on next page ( if different
E-Mail odandopermits@fhiaremodeling.com
from the Owner listed above)
State or County License FI
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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:
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- -- -- - • ••-•�• .. • •.. • 1.in nereoy mane to ootain a permit to do the work and installation as indicated
I certify that noyYwork or installation has commenced prior to the issuance of a permit.
St.
is in conflictctawith any applicableiHomeaOwners Asssocing a ati nirulelsaby aws or and covenants that build
ay the o prohibits structure
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 o encement may result in paying twice for
improvements to your property. A Notice of Comm n nt must be recorded in the public records of St.
Lucie County and posted on the jobsite before the fi ction. If you intend to obtain financing, consult
with lender or an attorneybefore commencingwork rdin our Notice of Commencement.
Si re of Owner/ Lessee/Contractor as Agent for Owner big a of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 1 f.tte COUNTY OF SST LvC. f
Swo`rn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
1- Physical Presen or Online Notarization 4hysical Presence or online Notarization
this ( day of_ 4�" , 2020 by this -- ( day of 2020 by
Name of person making statement. + Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
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Commission No.
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