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8599946
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 51'x ' ff-11
RECEIVE®
a Building Permit Application
OCT'O-9 2015
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St.Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATIQN
Address: 2771 Coolidge Rd. Fort Pierce, FL 34945
Legal Description: MODEL LAND CO'S S/D 23 35 39 THAT PART OF S 1/2 OF LOT 8 IN SW 1/4-LESS E 45 FT AND
LESS S 60 FT-(3.87 AC) (OR 265-1082:344-2922; 3315-135: 3660-2390: 3680-207: 3756-2129)
Property Tax ID#: 2323-501-0044-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Nentwich,#8599946
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION QF WORK '
Replacing 17 windows size for size with impact
CONSTRUCTION INFORMATION
Additional work to be nertormed under this permit—check k all that apply: /
❑HVAC Gas Tank ❑Gas Pi in _Shutters �/ Windows/Doors Pipin ❑
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 15,868.00 Utilities: 0 Sewer O Septic Building Height:
OWNER/LESSEE CONTRACTOR
,. . .. �. ..M f, ...
Name Christine Nentwich Name: Boysie Ramdial
Address:2771 Coolidge Rd. Company: The Home Depot At Home Services
City: Fort Pierce State:FL Address: 674 S Military Trail
Zip Code: 34945 Fax: City: Deerfield Beach State:FL
Phone No.(210)865-6503 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.
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SUPPAL CLEMENTONSTRUCTION LIEN LAW INFORMATION
4_
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 Owne /Agent/Lessee Signatur of Contractor/License Holder
STATE OF FLORID STATE OF FLORI A
COUNTY OF Uo COUNTY OF
The forgoing instrum n was acknowledged before me The for oing instrst5n t was acknowledged before me
this-7 day of 20 15 by this-Y day of 20 15 by
Boysie Ramdial Boysie Ramdial
(Nam;of erso cknowled ' g) A B R (Name of per n cknowle ing F KER
NOTARY PUBLIC NOTARY IC
STATE OF FLORID STATE OF ORIDA
14 Comm#EE215692 J Comm#E 9692
(Si nat re f Notary Public-State of Florida ) XP1reS (Si nature of Notary Public-State of Florida) -xpires 7/ 12016
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. _f_k at ✓�`a (Seal) Commission No. (Seal)
Revised 07/15/2014
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