HomeMy WebLinkAboutBuilding Permit Application 8714355
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:TIN
RECO"--Di ii�
Building eication
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
P"ROPOSED IIVIPRO�/EMENTeLOCATIO.N
- e ,_
Address: 5803 S Indian River Dr. Fort Pierce, FL 34954
Legal Description: 1 36 40 FROM INT OF N LI OF GOV LOT 2 AND ELI OF FEC RR RUN SELY 1068.33 FT FOR POB,TH ELY TO IND RIV DR,TH NWLY 98.84 FT,TH WLY 688.74 FT TO FEC RR,TH
SELY ON RR 97.4 FT TO POB,ALSO INCL LAND LYG E OF IND RIV DR AND THAT PART OF J F WOOTEN'S SID N 50 FT OF LOT to-LESS RR AND RD RS/W-ALL WITH RIP RTS(4.13 AC)(OR 3627-2623)
Property Tax ID#: 3401-423-0001-000-6 ' Lot No.
Site Plan Name: Block No.
Project Name: Galiano,#8714355
Setbacks Front Back: Right Side: Left Side:
r
""--DESCRIPTION OF WORK
Replacing 15 windows size for size with impact
CONSTRUCTION INF fi RMATION
. .,,.�. ... . . . �. . �r..:
Additional work to be er orme un er this permit—check all that appy:
1]HVAC Gas Tank F]Gas Piping ❑_Shutters Q Windows/Doors
Electric ❑ Plumbing -Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction: $�5oc) Utilities: _Sewer[]Septic Building Height:
,0WN`ER%LESSEE CONTRACTOR:"
Name Vincent and Kimberly Galiano Name: Boysie Ramdial
Address:4226 Cordgass Inlet Dr. Company: The Home Depot At Home Services
City: Jacksonville State:FL Address 674 S Military Trail
Zip Code:'32250 Fax. City: Deerfield Beach. State:FL
Phone No.(904)705-5854 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.
SUPPLEMEN�•TAL CONSTRUCTION LIEN xLAu1/ INFRMATION, ,�
F_-
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/Agent/Lessee Signature o Contractor/License Holder
STATE OF FLORIgA [ STATE OF FLORIDA
COUNTY OF COUNTY OF
The f rgoing instrun}ent wapacknowledged before me The for ing instruy�t w s cknowledged before me
this day of N 20 15 by this Aday of /V 20 15 by
Boysie Ramdial Boysie Ramdial
(Name ofpe son ack twl ging) (Name of erson/acknled ing)
VAAA
(Signature of Notary ublic-State of Florida) (Siat re of Notary Public-State of Florida)
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type.of Identification Produced Type of Identification Produced
(7�I�� ( 1) AMBER FLENKE Commission No. t5G�� MAMBER FLENKE
Commission No. NOTARY PUBLIC
NOTARY PUBLICSTATE OF FLOR
A
Revised 07/15/2014 q� Comm#EE215692 i A Expires 7h 1/201
Expires 711112016
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS