HomeMy WebLinkAboutBuilding Permit Application 8569720
ALL i%,;PLICABLE,,INFO )MUSTT BE COMPLETED FOR APPLICATION TO BE ACCEPTED �1 1-�/�
Date: V / ' / J Permit Number: ' S/D t/V 1 .
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RECEIVED
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Building Permit Application OCT / 1 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
PROPOSfDhIIVIPR01/EMENTaLOCATIQ,NR F
5 I
Address: 5501 Lucille Ln. Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 4-BLK 27 LOTS(MAP 13/11S) (OR 3692-902)
Property Tax ID#: 1301-604-0033-000-1 Lot No.3
Site Plan Name: Block No. 27
Project Name: Trilla,#8569720
Setbacks Front Back: Right Side: Left Side:
r' rzc 3 `�"s? a
DETAILED DESCRIPTION QF WORK
Replacing 16 windows and 1 door size for size with impact
CO,rNSTRUCTlOIINFORMATION � s
Additional work to be nej orme d under this permit—check all appy:
❑HVAC II Gas Tank ❑Gas Piping in _Shutters Z Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: y S Ft.of First Floor:
Cost of Construction:$ / 9d�,/ &7_ b 0 Utilities:Cn Sewer[]Septic Building Height:
OWNER%LESSEE f `z ' r CONTRACTOR
Name Gina Trilla Name: Boysie Ramdial
Address:5501 Lucille Ln. Company: The Home Depot At Home Services
City: Fort Pierce State:FL Address: 674 S Military Trail
Zip Code: 34951 Fax: City: Deerfield Beach State:FL
Phone No.(845)527- 1939 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$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Ow r/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORI A
COUNTY OF Cat,U, COUNTY OF G4
The forgoing instrument vyas acknowledged before me The forgoing instru en�wa$acknowledged before me
this 2q day of 20 15 by this DR day of P tr 20 15 by
eoysie Ramdial 1 Boysie Ramdial
(Name of-p.1-son acknow d 'ng) (Name of person ackno led ing)
(Signature of Nota u c-State of Florida) S Rt6 rd of N ary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. gE�D (Seal) Commission No.d�FOa(54Y1 (Seal)
AMBER F NKER AMBER FLENKE
NOTARY ELIC ,"� NOTARY PUBLIC
S I ATE OF FLORIDA STATE OF FLORID
Revised 07/15/2014WeComm#EE215692 Comm#EE215692
^ Expires 7/11/2016 `� Expires 7/11/201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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