HomeMy WebLinkAboutBuilding Permit Application 8694293
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��11
Date: Permit Number:
RECEIVE®
Building Permit Application
NOV -5 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
711 1
PROPOSED IMPR01/EMENT LOCATIO,Nk
i
Address: 7101 Fort Walton Ave. Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 10-BLK 127 LOT 21 (MAP 13/01 S)(OR 275-370)
Property Tax ID#: 1301-612-0202-000-2 Lot No.21
Site Plan Name: Block No. 127
Project Name: Bair,#8694293
Setbacks. Front Back: Right Side: Left Side:
DETAILED DESCR[PTION OF WORK
Replacing 17 windows size for size with impact
ON RU INFORMATION
RUI
u ,g
Additionalwork to be ertormed under this permit—check a t appy:
HVAC Gas Tank []Gas Piping _Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 17,065.00 Utilities:0 Sewer[]Septic Building Height:
01NNER/LESSEE CONTRACTOR
Name Franklin Bair Name: Boysie Ramdial
Address:7101 Fort Walton Ave. 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.(772)332-4206 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.
SIJRPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
a
J _
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 SignaturLyof Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF GQ�
The forgoing instrum nt was acknowledged before me The for oing instrument was pcknowledged before me
this day of 20 15'by this day of 20 15 by
Boysie Ramdial 1 Boysie Ramdial
(Name of per on knowledgin (Name of person knowledging
(Signature of Notary b c t f Florida) (Si e f Votary Pu ic-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. (Seal) Commission No. (Seal)
AMBER FLENKE AMBER FLENKER
NOTARY PUBLIC NOTARY PUBLIC
i STATE OF FLORIDA STATE OF FLORIDA
Revised 07/15/2014 Co
mm#EE215692 Comm#EE21W92
wa ivo Expires 7/11/2016 W.mwires 7/1112016
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS