HomeMy WebLinkAboutWindow and Door application- 5500 Hickory - GibsonAll APPLICABLE eNFO MUST BE COMPLETED FOR APPLiCA— ON TO BE ACCEPTED
Date:
Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential /
PERMIT TYPE: Vy 1 rid dVV
Address: 9, wo
Property Tax ID #: J? 0 J"Q09-0 ZZ(D - 000 - 1 'd
Site Plan Name: iv
Project Name:
Z
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Additional work to be performed under this permit -check all that apply:
_Mechanical — Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
_ Generator
Sq. Ft. of First Floor:
Lot
Block No. cg
S w 9 rev
r� I .{ TT 1= p . C
yL Windows/Doors
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
Nam ,M y1 ftY _4_f -
Address: EU0
City: ' jf/lru State: FL_
Zip Code: 3 Z Fax: W
Phone No.� - 19 - Nq
E-Mail: o6 O 00yr
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Gary Whigham
Company: South Florida Aluminum Products
Address: 4807 S US HIGHWAY 1
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-466-1074
Phone No 772466-0913
E-Mail sfapbooks@soflalum.com
State or County Licens
F value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
F value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN V0A"N1=ORMATION:
DESIGNER/ENGINEER: Not Applicable'
Name -fid a Rlrl�r��
Address: .S d r a- ,, y p
City: rat rr+p0*- State:
Zip: :331,nO,9 Phone 5KI3 —
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:_
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
State:
BONDING COMPANY: X Not Applicable
Name:_
Address:
City:
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU�T D_ 7 -OBTAIN FINANCING, CONSULT
WITH NOT=DER OR AN ATTORNEY BEFORE RECORDING YOUR-F COMMENCEMENT."
Si nature'9f ner LesseeYContractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgging instru ent was acknowledged before me
this day of 202A by
GARY WHIGHAM
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
rise Holder
STATE OF FLORIDA
COUNTY OF ST. LUCIE
I The for oing instru ent was acknowledged before me
this g day of 44-, 20_2—L by
GARY WHIGHAM
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature of N (Signature of
�.►�' Notary Public State of Florida ;p'►x� y� Valk y PIAWIE SlAte of FIT
Commission No. Emily N Hicks{Seal1 Commission N � LmuY N Hicks (5ealj
misssoci HH 0337541 AIr11rEH1 HH Seal)
aM1 Expues 0813012024 p, M1 Expnes 0613U12024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION f SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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