HomeMy WebLinkAboutBuilding Permit Application 8212141
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 16-D5 -66 3-1
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
PROPOSED IIVIPROVEMENT.LOCATION
Address: 12275 Cessna Terr. Port Saint Lucie, FL 34987
Legal Description: TREASURE COAST AIRPARK LOT 4 (2.31 AC) (OR 3437-1200)
Property Tax ID#: 4224-501-0004-000-6 Lot No.4
Site Plan Name: Block No.
Project Name: Harper,#8212141
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Rep[lacing 17 windows and 2 doors size for size with impact
CONSTRIJCTION INFORMATION
itiona workto a er orme un er t is permit—c ec a t t appy:
❑HVAC Ei Gas Tank Gas Pi in �_Shutters Q Windows/Doors
❑ pg
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.
of First Floor:
Cost of Construction: $ 24,692.00 Utilities: []Sewer*O Septic Building Height:
01NNER/FLESS
EE : CONTRACTOR
Name Debora Beltzer-Harper Name: Boysie Ramdial
Address: 12275 Cessna Terr. Company: The Home Depot At Home Services
City: Port Saint Lucie State:FL Address: 674 S Military Trail
Zip Code: 34987 Fax: City: Deerfield Beach State:FL
Phone No.(772)521 -6465 Zip Code: 33442 Fax:
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 CONSTRUCTION LIEWLAIN 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 thepermit 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 Own r/Agent/Lessee Signaturg of Contractor/License Holder
STATE OF FLORIDA I _ STATE OF FLORID�I I
COUNTY OF 1�, COUNTY OF l�tK�
The forgging instrum nt wa acknowledged before me The forgoing instrume t was acknowledged before me
this day of ` 20 15 by this'3j day of 20 15 by
Boysie Ramdial 1 Boysie Ramdial
(Name o;person ck owledging) (Name of pers a nowledgin
(Sign atur o tary Public- tate of Florida ) (Sig ture of otary Public-Aate of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.��(/a��� l (Seal) Commission No. (Sea
(Seal)
AMBER FLENKEk
AMBER FLEN ER NOTARY PUBLIC
I mit; STATE OF FL ID,•
Revised 07/15/2014, STATE OF FLORIDA Comm#EE215692
Comm#EE215692 wislo; Exfres 7/1112016
Expires 7111/zole
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS