HomeMy WebLinkAboutBuilding Permit Application 8762946
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED DEC.113 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
PRbPOSED IMPROVEMENT LOCATION
Address: 506 Ponderosa Dr. 31D Fort Pierce, FL 34982
Legal Description: The Grove Condominium-Section One-Unit 31 D (OR 3511-1224)
Property Tax ID#: 3410-507-0124-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Hix,#8762946
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Replacing 2 doors and 10 windows size for size with impact
CON STRUCTIQN INFORMATION
Additional work to be nertormed under this permit—check all t appy:
E1HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors.
1-1 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 16,683.00 Utilities:11 Sewer El Septic Building Height:
OWNER/LESSEE `CONTRACTOR
Name Ronald and Carla Hix Name: Edward Guillory
Address:506 Ponderosa Dr. 31 D Company: The Home Depot At Home Services
City: Fort Pierce State:FL Address: 674 S Military Trail
Zip Code: 34982 Fax: City: Deerfield Beach State:FL
Phone No.(330)388-3073 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: CGC1507093
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIQN LIE°N 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 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 of Contractor/License Holder
STATE OF FLORID/� STATE OF FLORIpA
COUNTY OF C.� COUNTY OF (auL
The forgoing instrument wap acknowledged before me The forgoing instrument w s acknowledged before me
this_�day of A/^
�WJ. 20 15 by this-23 day of s 20 15 by
Edward Guillory 1 Edward Guillory
(Name of person acknowle gi ) (Name of pers iknowle gin )
(Signat of Notary Pu lic-State of Florida ) (S' ature 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. �a IS(,.�a (Seal) Commission No.CI�al SG�� A eal)AMBER FLENKER
AMBE FLENKER
Aftak NOTA PUBLIC NOTARY PUBIC
STATE OF FLORIDA
Cr EE215692
Revised 07/15/2014 Comm#EE215692 �s� E Ire
Pypt" xp s 7/11/2016
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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