HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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: To Select from dropbox, click arrow at the end of lineoboo J
PROPOSED IMPROVEMENT LOCAtICiN
Address: 2907 Sherwood Ln. Fort Pierce,FL 34982
Legal Description: Sherwood Acres Unit 1 Lot 20 (0.25 AC) (OR 851-2428)
Property Tax ID#: 2421-701-0020-000-7 Lot No. 20
Site Plan Name: Block No.
Project Name: Lei#8336895
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 10 windows size for size.
CONSTRUCTION INFORMATIONje
y
Additionalwork to be nertormed under this permit—c ec a appy:
HVAC Gas Tank
-]Gas Piping Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers ElGenerator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 8295 Utilities:Sewer 0 Septic Building Height:
OWNER%LESSEE µ . "CONTRACTOR: r 4
��.. .�,.
Name Timothy Lei Name: Boysie Ramdial
Address: 2907 Sherwood Ln Company: The Home Depot At Home Services
City: Fort Pierce State: FL Address: 674 Military Trail
Zip Code: 34982 Fax: City: Deerfield Beach State:FIL
Phone No. Zip Code: 33442 Fax:
E-Mail: Phone No. (974)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 LIEN LAW 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 Owne Agent/Lessee Signat re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF Qf C c:z
The for oing instrument was acknowledged before me The for oing instrument was acknowledged before me
this day of Ju0� 20 15 by this ly day of 20 15 by
Boysie Ramdial 1 Boysie Ramdial
(Name o rson we gl (Name ers 76w
(Si' ature @LNetary Public-State of Florida) Sig ure otary Public-State of Florida)
/Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Sealy ATHON ALLEN TH mission No. (Seal)
�,wVr ep, y .iONATHON ALLEN THOMA
s°n NOTARY'PUBLIC ��0-
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�° NnTARY PUBLIC
`.` STATE OF FLORIDA
Revised 07/15/2014Comm#FF05�2368 y �'Comm#FF055234
"ref 161 Expires 9/13/2017 s,. 1m irne Q11 812017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS