HomeMy WebLinkAboutBuilding Permit Application - - 8552292
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: °1 �ai Permit Number: C,a°1-�o`� 1
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Permit 41
plication
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce A 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
PROPOSED IMIPROVEMENT LOCATIC!'N
Address: 5010 Buchanan Dr. Fort Pierce, FL 34982
Legal Description: INDIAN RIVER ESTATES-UNIT 1-BLK2 LOTS 17 AND 18 (MAP 34102S)(OR 1203-1777:
1214-2735: 1285-2012: 2757-2220)
Property Tax ID#: 3402-602-0062-000-3 Lot No.17&18
Site Plan Name: Block No. 2
Project Name: Thompson,#8552292
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK r
Replacing 15 windows size for size with impact
CONSTRUCTION 1N`FORMATION
�... . .. " a. r
Additionalwork toa er orme under this permit—check a at appy:
HVAC Ei Gas Tank E]Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 15,722.00 Utilities:In Sewer[]Septic Building Height:
OWNER%LESSEE =CONTRACTOR:"
Name Bob and Alice Thompson Name: Boysie Ramdial
Address:50101 Buchanan Dr. Company: The Home Depot At Home Services
City: Fort Pierce State:FL Address: 674 S Military Trail
Zip Code: 34982 Fax: City: Deerfield Beach State:FL
Phone No.(772)460-0104 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.
_ A
SIJP�P..LEMENTAL-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 Owner/Agent/Lessee Signatu4 of Contractor/License Holder
STATE OF FLO IDA STATE OF FLORI A
COUNTY OF W_ COUNTY OF
The forgoing instrument was acknowledged before me Theforgoing ins tr m nt as acknowledged before me
this--day of ti e� 20 15 by thisa3 day of 20 15 by
Boysie Ramdial l Boysie Ramdial
v FNICER
(Name of pe Vackw dging) fyOTARYPLIBLI Name of person knowledging NOTARY ELIC
h ° STATE OF FL IDA STATE O LORIM
e�Comm#EE2155 2 Comm#EE 15692
(Signature of Notary Public-State of Florida ) Signature of Notary PublIi c-State of Florida) xplres 7 /2016
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced 1 Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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