HomeMy WebLinkAboutBuilding Permit Application 8716581
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a % rJ Permit Number:
RECEIVED NOV 13 2015
Building Permit Application
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
PROPOSED IM'PROVEMENT LOCATION
Address: 11700 Twin Creeks Dr. Fort Pierce, FL 34945
Legal Description: TWIN CREEKS I LOT 8 (1.:87 AC)(OR823-2742: 857-202)
Property Tax ID#: 2333-601-0008-000-0 Lot No.8
Site Plan Name: Block No.
Project Name: Lukat,.#8716581
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OFk WORK
Replacing 1 window size for size with impact.
t ,
CO`NSTR,UCTION INFORMATION
Additional work toe a Orme under this permit–check a appy:
Gas Tank [:]Gas Piping _ Windows/Doors
— ping Shutters ❑
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ J13.6 d Utilities:cn Sewer O Septic Building Height:
,OWNER/LESSEE':- CONTRACTOR:
Name Thomas and Lena Lukat Name: Boysie Ramdial
Address:11700 Twin Creek Dr. 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.(772)595-0286 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.
SIJPPLE,MENT,' CQNSTRUCTION :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 Ow er/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instru ent w s acknowledged before me The for oing instrum nt was a knowledged before me
this_L%)day of 20 15 by this day of 20 15 by
Boysie Ramdial 1 Boysie Ramdial
(Nameof pe so acknowledgin ) (Name of perso ac owledging
(Sign t re Y Notary Public-State of Florida ) (Signat 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
Commission No. ' -; (Al (SSe I) AMBER FLENKE RCommission No. L����5�4� (SeaLBER FLENKER
NOTARY PuBLICJA NOTARY PUBLIC
STATEOF FLORIDA
Revised 07/15/2014 Comm#EE215692 Comm#EF-215692
� Expires 7/1112016 °�e Expires 7/11/2016
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