HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO
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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 line
PROPOSED IIUIPROVEMENT LOCATIQN
Address: 5604 Oleander Ave. Fort Pierce, FL 34982
Legal Description:White City Estates BLK 2 Lot 2 - Less W 3 FT- (0.49 AC) (or 3620-2984)
Property Tax ID#: 3410-601-0023-000-0 Lot No. 2
Site'Plan Name: Block No. 2
Project Name: Lopez#8380113
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION QF WORK
.. . .
.Replace 12 accordion shutters
CO';IVSTRI)CTION INFORMATION -0-
t
Additional work toe nertormed under this permit-check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric F] Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 9530 Utilities:Sewer[]Septic Building Height:
OWNER' ESSEE 'CONTRACTOR
Name Name: Boysie Ramdial
Address ":V :?6 Company: The Home Depot At Home Services
_ Address: 674 Military Trail
city: S?ate:
Zip Code: Fax- City: Deerfield Beach State:FL
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.
SUPPLEMENTALCONSTRUCTION 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 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/Lessee/Agent SignaturE of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF E@W�g* LAS COUNTY OF t-AVE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 23 day of c-5304 20 t5—by this 5 day of 36Laf 20 15 by.
oYS► ►rn� AL. �oYB►� —9—AMaI,aL_
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida)
Personally Known VI/1-011 Produced Identification Personally Known 1, OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. No. (Seal
Erick,,
NOTARY Pl1BGC NOTARX,,PUBL{C
%,orr FF185 STATE OF.FLORIDA
Revised 07/15/2014 1y16120113. Canm#FF783545'
60os'121.16/2016
REVIEWS FRONT ;ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW, REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS