HomeMy WebLinkAboutBuilding Permit Application 8190369
ALL APP ICABLLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: —� �I—I1Permit Number: J f
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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 Residential X
PERMIT APPLICATION FOR: Window/door
P.R,OPOSED IMPROVEMENT LOCATIQN
Address: 3408 Avenue S Fort Pierce, FL 34947,
Legal Description: SUNLAND GARDENS BLK 4 LOT 11 (0.19 AC) (OR 3688-2367)
Property Tax ID#: 2405-601-0075-000-0 Lot No.11
Site Plan Name: Block No. 4
Project Name: Bond,#8190369-
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION ;OF WORK "
Replace 5 windows size for size with impact
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CONSTRUCTION INFO"RIVIATION _' "a�'�, , .,���, ''
Additional work to be pertormed under this permit—c ec all appy: o
❑ WindW,11DOgbk a `.
_HVAC _Gas Tank Gas Piping _Shutters ❑
❑Electric ❑ Plumbing ❑Sprinklers ❑Generator [] Roof
r
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 4,765.00 Utilities:cnSewer❑Septic Building Height:
QI/UNER%LESSEE CONTRACTOR:
Name Mark Bond Name: Boysie Ramdial
Address:3408 Avenue S Company: The Home Depot At Home Services
City: Fort Pierce State:FL Address: 674 S Military Trail
Zip Code: 34947 Fax: City: Deerfield Beach State:FL
Phone No.(561)685-5880 Zip Code: 33442 Fax:Fits�' �—�-C�
E-Mail: Phone No. (954)379- 1500
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: CRC046858
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CQNSTRUCTI,ON LIEN LAIN 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:
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 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/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA / STATE OF FLORIDI��
COUNTY OF �—�C COUNTY OF
The forgoing instru nt w s acknowledged before me The forgoing instrument was cknowledged before me
this day of r� 20 15 by this a�day of 20 15 by
Boysie Ramdial 1 Boysie Ramdial
(Name of personkno ledging) (Name of pers ac now]ed ing)
41/1
x,
v/V
(Signatur of otar P blic-S of Moricla ) (Sign ap64Wotary Publi -State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced
dd Type of Identification
Produced
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9
Commission No. a -l� (Seal), AMBER Ission No.C,E"ia�l ` (Seal)
NOTARY BUCDA AMBER FLENKER
4**' NGTAR-YPUBUG
Comm#EE215692 STATE OF FLORIDA
Revised 07/15/2014 "v'�,J Expires 7/1112018
Comm#EE215692
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