HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: l566 'a4G
RECEIVED JUN 03 1015
- 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 Yes
PERMIT APPLICATION FOR: Window/door
PROPOSED IMP.ROVEMENT;LOCATIO_N
Address: 2446 Harbour Cove Dr. Ft. Pierce, FI 33494
Legal Description: To large to list
Property Tax ID#: 1425-701-0064-150-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION O:,F
Remove existing windows and doors and install new PGT wind guard impact windows and doors.
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CONSTRUCTION INFORMATION ;
Additional work to be e orme under t isermit—check p all apply:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 15,000 Utilities:n Sewer Septic Building Height: 3 Story
OWNER/LESSEE ;;CONTRACTOR: ;
Name Daniel Sands Name:
Address:2446 Harbour Cove Dr. Company:
City: Ft. Pierce State:FL Address:
Zip Code: 33949 Fax: City: State:
Phone No.561-309-3910 Zip Code: Fax:
E-Mail:danielsands@bellsouth.net Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:
if value of construction is$2500 or more;a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: x_Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your fail to Record a Notice of Commencement may result in your paying twice for
improvements to your rope Notice of Commencement must be recorded and posted on the jobsite
before the first insp n. y intend to obtain financing, consult with lender or an attorney before
commencingwork our Notice of Commencement.
'Izeloe"* s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S . Ly c COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this$ day of -�5 y h 20 S by this day of 20 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of NotaryPublic-State of Florida \J�NS �\o��da 6 (Signature of Notary Public-State of Florida)
PG o1 01
Personally Known OR Pro d Or� fic�at ,'6Q�6'\ Personally Known OR Produced Identification
Type of Identification Produc L xQ`�es tt Type of Identification Produced
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Commission No. . ..My x, 005° 'Commission No. (Seal)
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Revised 07/15/2014
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