HomeMy WebLinkAboutBuilding Permit Application 8$47635
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q.
Date: I1 I'ISP Permit Number:
F® �, W,
RECEIV7D JAN 0 7 2016
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300,Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
PROPOSIt'D`IM,PROVEMENT LOCATION
Address: 250 Bomini Dr. Fort Pierce, FL 34949
Legal Description: CORAL COVE BEACH-SECTION ONE-BLK 3 LOT 11 (OR 2420-570: 3266-1784)
Property Tax ID#: 1425-701-0051-000-2 Lot No.11
.Site Plan Name: Block No. 3
Project Name: Moore,#8847635
Setbacks Front Back: Right Side: Left Side:
DETA[LEb DESCRfPTION OF WORK
Replacing 4 windows size for size with impact
CONSTRUCTION INFORMATION "
Additional work to be nertormed under this permit—check all appy:
F1 HVAC L_I Gas Tank Gas Piping In Shutters Windows/Doors
Electric ❑ Plumbing OSprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 6,309.00 Utilities:Sewer Septic Building Height:
O1NNEft/LESSEE CONTRACTOR.
Name J6Y Moore Name: Boysie Ramdial
Address:250 Bimini Dr. Company: The Home Depot At Home Services
City: Fort Pierce State:FL Address: 674 S Military Trail'
Zip Code: 34949 Fax: City: Deerfield Beach State:FL
Phone No.(772)332-0001 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 INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:. .:Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEESIMPLE 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 FLOR)DPL
COUNTY OF1� COUNTY OF /
The for oing instrument was acknowledged before me The for Ing instrument was acknowledged before me
this day of 20 15 by this 7day of. 'a Ut 20 15 by
Boysie Ramdial Boysie Ramdial
Name of erson a no ledging) aqt AMBER FLENKER (Name o per on acknowl dging)
( �± ; AMBER FLEN R
res NOTARY PUBLIC NOTARY PUB:11
' STATE OF FLORIDA STATE OF FLC i i IDA
Comm#EE215692 MaN
I n ure o aryPublic-State of FIdr da expires 7/11/2015912
gna ure of otary Public-State of Florida Exnires 7/19/ 15
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced'
Commission No. (Seal) _ Commission No. (Seal)
Revised 07/15/2014 °
REVIEWS ,FRONT _ ZONING SUPERVISOR PLANS VEGE.TATION SEA TURTLE MANGROVE
COUNTER REVIEW . REVIEW REVIEW REVIEW REVIEW REVIEW
DATE:
COMPLETE
INITIALS