HomeMy WebLinkAboutBuilding Permit Application ALL APPL14BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 7�
Date: 0(fj ?/2015 Permit Number:. v L�f
RECEIVED
Building Permit Application JUN 2 9 .2015
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 E`
PROPOSED IMP;RQVEMENT�:LOCATIC!N
_
. .
Address: 8240 Hidden Pines Road Fort Pierce, FL 34945
Legal Description: Hidden Pines Estates Blk A Lot 3 (1.20 AC) (Or 3679-1980)
Property Tax ID#: 2323-701-0003-000-1 Lot No.3
Site Plan Name: Block No. A
Project Name: Chesnut
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION O-F WORK
Replace 11 windows and 2 mullions size for size using impact products.
CONSTRUCTIO Ir NFORMATION � = '
Additional work to be pertormed under tispermit—check all appy:
HVAC Gas Tank ❑Gas Piping M
Shutters Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 9330.00 Utilities:]Sewer Septic Building Height:
OW-NER/LESSEE CONTRACTOR
�a
Name Dennis and Ann Marie Chesnut Name: Mark Collins
Address:8240 Hidden Pines Road Company: Window World of West Palm Beach
City: Fort Pierce State:FL Address: 1500 N Florida Mango Road Suite 16B
Zip Code: 34945 Fax: City: West Palm Beach State:FL
Phone No.772-201-6656 Zip Code: 33409 Fax: 561-684-2050
E-Mail: Phone No. 561-684-2040
Fill in fee simple Title Holder on next page(if different E-Mail: WestPalmBeach@WndowWorld.com
from the Owner listed above) State or County License: CBC 1260052
n
of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEIVIENTALCONSTRUCTION L1ENLAW. INFORMATION&3 ;
« .. .,
�4,n
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X 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 tp_yorq property.A Notice of Commencement must b orded and post d n the jobsite
before theirst ins ction yo n to obtain financing, con wE ender o attor y before
comme c' 0, �0 r or ' o Mice of CommencemerL
s
Signature of Owner/Lessee/Agent r ature of Contractor/License Holder
STATE OF FLO_RI ���^� STATE OF FLO otj J_
COUNTY OF � V 1. COUNTY OF o�//.M
The for oing instr�nt was acknowledged before me The for oing instrumen was acknowledged be�fo a me
this Idayof —/ oto _ 20 )<by this�fd�yof J i�En 20 �� by
A.,4ZAL rk (:1 9 14 1:
(Name of person acknowledging) (Name of person acknowledging)
duqa& 24
(Signatu of Notary Public-State of Florida) (Signature6f-Notary Public-State of Florida)
Personally Known 'Y, OR Produced Identification Personally Known�—OR Produced Identification
Type of Identification Produced Type of Identification Produced
�SBI41AIL JOHNSON Commission No.
�'^�'� + AIL JOHNSON
Commission No. `U1 �'r'
ey :s:
No ar blit, State of Florida otary Public,State of Florida
f`•-' =
�•�>'••��---:�,``: My comm.expires May 19. 2019 *.�•._,. r�. My comm, expires May 19, 2019
ti
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06015 Permit Number: `� '� ,
- REC ��f�a
Building Permit Application ._..
Planning and Development Services JUN 2
Building and Code Regulation Division 9 215
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter El
PROPOSED IIVIF'ROVEMENT LOCATIONv
Address: 8240 Hidden Pines Road Fort Pierce, FL 34945
Legal Description: Hidden Pines Estates Blk A Lot 3 (1.20 AC) (Or 3679-1980)
Property Tax ID#: 2323-701-0003-000-1 Lot No.3
Site Plan Name: Block No. A
Project Name: Chesnut
Setbacks Front Back: Right Side: Left Side:
DETAILED` DESCRIP10 0'F WORK
Install steel panel shutters over three doors and 1 window.
-ON,STRUCTIO [NFORMATION
Additional work toe nertormedd under this permit—check a appy:
HVAC EGas Tank ❑Gas Piping Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1400.00 Utilities: LnJ Sewer ElSeptic Building Height:
NE
Name
'° . CONTRACTOR:.
Name Dennis and Ann Marie Chesnut Name: Mark Collins
Address:8240 Hidden Pines Road Company: Window World of West Palm Beach
City: Fort Pierce State:FL Address: 1500 N Florida Mango Road Suite 16B
Zip Code: 34945 Fax: City: West Palm Beach State:FL
Phone No.772-201-6656 Zip Code: 33409 Fax: 561-684-2050
E-Mail: Phone No. 561-684-2040
Fill in fee simple Title Holder on next page(if different E-Mail: WestPalmBeach@WindowWorld.com
from the Owner listed above) State or County License: CBC 1260052
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
R_U TIGN,'-, X'.-LAw1Nt A
P R L EN N T- C7 ION
U L i'E"
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ZNot Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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 theermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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 ecor e and t d on the jobsite
d d dao_osted
ith 1!n ran ttorney before
commenp n�
before the fir5t ins ection-.-If you intend to obtain financing, consu
M' woo qroing your Notice of Commencement
_s
_Signature of Owner/Lessee/Agent ntr
lre of Contrac or/License icenre Holder
STATE OF FLOR!PA STATE OF FLORIDA
COUNTY OF P4�YV4 COUNTY OF W1 &_'rAn]
The for oing instrument was acknowledged!Ijeore me The forgoing instr!u5m,�et was acknowledged before me
'Y� -Ft
this for
of 20 Liby this 11(F, 20 15 by
r4L_ ig&nature of Owner/IS'
(Name of person acknowledging) (Name of person acknowledging
(Slgnatu�4 of otary Public-State of Florida) (SignaturECO Notary Public-State of Florida
Personally Known�OR Produced Identification Personally Known 7>4, OR Produced Identification
Type of Identification Produced Type of Identification Produced
y (SM)GAIL JOHNSON
Commission No. MUIL JOHNSON Commission No.
........ Notary Public, State of Florida
V. Notary Public,State of Florida
My comm. expires May 19, 20191
az_� My comm. expir s May iQ gniq I
Commission Number FF 232431 ,77..,vt- 'Commission Number FF 232436
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS