HomeMy WebLinkAboutBuilding Permit Application 9
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p
i
Date: Permit Number:
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
z ti MW
m
FROPOSED 1111f'PR01>JEMENT LOCATIQN
Address: 761 Cypress st. Port Saint Lucie, FL 34952
Legal Description: River Park-Unit 01-BLK 8 LOT 14(MAP 34/22S)(OR 3795-607)
Property Tax ID#: 3419-501-0085-000-2 Lot No.14
Site Plan Name: Block No. 8
Project Name: Sharland,#8747471
Setbacks Front Back: Right Side: Left Side:
DETAILEE DESCRIPTION OF 111/O'RK � ....
Replacing 4 windows size for size with impact
CONSTRUCTION IN' FORIV(RTION
..
. .. � . <
Additional work to be nerformed under this permit—checR all appy:
❑HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction: $ 6,102.00 Utilities: Sewer Septic Building Height:
OUI/IER/L`ESSEEz
ON
'S
TM L 1
�.. .
k
Name Audrey Sharland Name: Boysie Ramdial
Address:761 Cypress St. Company: The Home Depot At Home Services
City: Port Saint Lucie State:FL. Address: 674 S Military Trail
Zip`Code: 34952 Fax: City: Deerfield Beach State:FL
Phone No.(954)205-7707 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 LAIN{INF_ ORMATION
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.
s
_Signature of Owner Lessee/Agent Signature of ontractor/License Holder
STATE OF FLORIDA III-_ STATE OF FLORIDA
COUNTY OF
COUNTY OF �i�The forgoing instru etit wallsacknowledged fore me The forgoing instru=tkwledged b fore me
this qday of 20 by this I' day of20 Ty
ANYANM
(Name of person ackn ledging) (Name of son cknowle ing
Z- A
(Signature of No ary Public-State 9f Florida) (Signa ure of Notary Pu ic-State of Florida)
Personally Known_OR Produced Identification Personally Known �-- OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. �"�I �� rt AMBER FLENK Rommission No. FLENKEgSeal
k NOTARY PUBLI {VOTARY PUBLIC AMBER Fac
TATE OF FL IDA NO PARY C
Comm#EE215692 :4lDA
Revised 07/15/2014 `�veEtg� Expires 7/19/2016 EE215592 4 COMM# 92
e Ise Expires 7/11/20160 9 > re; 016
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW, REVIEW REVIEW
DATE
COMPLETE
INITIALS