HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABL INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 Permit Numberl s\—
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
3300'Virgiriia Avenue,Fort Pierce Ft 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 3400 AVENUE K FORT PIERCE, FL 34947
Legal Description: PLAT 3-SUNLAND GARDENS BLK 39 LOT 11 (0.18 AC) (OR 3463-571)
Property Tax ID#: 2405-701-0044-000-1 Lot No. 11
Site Plan Name: WILLIAMS Block No. 39
Project Name: WILLIAMS
Setbacks Front Back: -Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:.,
REMOVE AND REPLACE WINDOWS AND DOORS NON-IMPACT- HOUSE HAVE ACCORDION SHUTTERS
13 WINDOWS AND 3 DOORS
O1AJ Jlo rs
=CONSTRUCTION INFORMATION:
Additional wor- to be ertormed under tispermit—check all appy:
HVAC. Gas Tank OGas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1798 Sq. Ft. of First Floor:
Cost of Construction:$ 6,500 Utilities: Sewer FlLJ Septic Building Height: 8'0"
OWNER/LESSEE:OWNER CONTRACTOR:
Name CYNTHIA D WILLIAMS Name: MAURICIO ORELLANA
Address:3400 AVENUE K Company: ONE CONSTRUCTION&ROOFING CONTRACTOR
City: FORT PIERCE State:FL Address: 3437 SW EUROPE!ST
Zip Code: 34947 Fax: City: PORT SAINT CUCIE State:FL
Phone No.727-709-9118 Zip Code: 34953 Fax: 772-336-9379
E-Mail:nla Phone No. 772-519-2449
Fill in fee simple Title Holder on next page(if different E-Mail: ONECONSTRUCTIONSERVICES@YAHOO.COM
from the Owner listed above) State or County License: CGC-1515745
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPP'LEIVIENTAL CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: • Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ( L-��/_'-111 COUNTY OF
The forgoing ins ument was acl nowledged before me The forgoing ins rument was acknowledged before me
thikwday o CE 20 �by this day — 20 j,�lby
(Nam of person acknowledging) (Nam4 of person acknowledging)
(Signature of Notar7:0R
to of Florida) (Signature of Notary��OR
of Florida)
Personally KnownProduced Identification Personally Known rod ed Identification
Type of Identification Produced Ty a of Identification Produced
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Commission No. (Sr ff��� NotaryPubli � �o�N �'=o'�L53S f Notarypu6licEMCI
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MY Comm.E Aires Jul 29,2016 *P- y Comm. Florida
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Bonded Through National Notary Assn. Bonded Th EE 2 535
Revised 07/15/2014 9h National No ygssn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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