HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi,
ALL APPLICABLE INFO MUST BE COMPLETED F(9G&V&&qON TO BE ACCEPTED
Date: BY
St. Lucie County 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 Commercial
RECBIyW
Residential x JAN 12 2018
PERMIT APPLICATION FOR: Window/door °nry
Address: 4235 N AIA #13 FT PIERCE, FL 34949
Legal Description: OCEAN HARBOUR VILLAS
Property Tax ID #: 1422-120-0012-130-8
Site Plan Name:
Project Name: CHERYL SMITH
Setbacks Front Back:
Right Side: Left Side:
Lot No. 13
Block No.
REPLACE 5 IMPACT GLASS WINDOWS AND 1 IMPACT GLASS DOOR SIZE FOR SIZE
CONSTRUCTtQNJNFO`RMATION:<
dU_tLonaiworKtouenertormed under
tispermit—check all
appil
01-1W Gas Tank
❑Gas Piping
_ Shutters
Q
Windows/Doors
EElectric 0 Plumbing
Sprinklers
Generator
E
Roof Roof pitch
Total Sq. Ft of Construction: 3938
S Ft. of First Floor: 2128
Cost of Construction: $ 8583
Utilities:
�Sewer Septic
Building
Height: 12'
OWR1EEtfLESSEE,
t
„ ;,;
CO A' :;
Name CHERYL SMITH
Name: M J Wetzel
Address: 4235 N AIA #13
Company: M J Wetzel Construction
City: FT PIERCE
Zip Code:-34949 Fax:
Phone No. 772-834-5487
State: FL
Address: 441 Mississippi Ave
City: St Cloud State: FL
Zip Code: 34769 Fax: 407-891-6957
Phone No. 407-709-6867
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: richie.roberts@expeditepermit.com
State or County License: CGC1505465
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNEQENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: _ City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City:
Zip: Phone: Zlp: Phone:
I certify that nowork or installationhas commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the p
the subject structure
estrict or prohibit such
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 conmrcency review:. room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessoryuses 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 jobsite
before the first ins coon. If intend to obtain finan*yl
er or omey before
commen ' o r reco our Notice of Comme
SI ure Owner/ ssee/contractor as Agent for Owner ense Holder
STATE Of FLORIDA r— V O' t
COUNTY OF LVet'e' COUNTY OF —
The The forgoing instrument was arknowledg�d�rafore me
this 5 day of �tr`f . 20 jQ by
/R le,Hg,-t1 \XaT-zS-
(Name of person acknowledging)
(Signature of Notary Public -State of Florida).
The fcygoing instrument was acknowledged before me
this_dayof 0--7+.20 & by
M l O + rr- L wr'T-GeL
(Name of person a owledging )
(Signature at Notary Public- State of Florida)
_
Personally Known -"�- OR Produced Identification _ Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
� y Richie Roberts
Richie Robertscommission No. NOTARYPUBI
Commission No. c
c, NOTARY PUBLI ESTATE OF FLC
r Comm# FF958353 "Q42 S" Expires 6/4/202u
Revised 07/15/2014 e�0 Expires 6/4/2020 p II
REVIEWS
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REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
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REVIEW
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DATE
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INITIALS