HomeMy WebLinkAboutBuilding Permit Application 8965427
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,� /�
Date: Permit Number: 1�OUL,'®1111�1"
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 IMPROUEME}NT LOCATION
Address: 1301 Trowbridge Rd. Fort Pierce, FL 34945
Legal Description: WEST 40 PLAT(PB 42-21)TRACT 4(9.69 AC)(OR 1780-1231; 3424-529)
Property Tax ID#: 2213-503-0004-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Lentz,#8965427
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Replacing 1 door size for size. Homeowner has existing accordion shutters.
CONSTNF
RUCTION IORMATION
Additionalwork to be nertormed under t is permit—check all that appy:
❑HVAC Gas Tank Gas Piping 1:1 Shutters ❑Windows/Doors
Electric ❑ Plumbing ❑Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 4,247.00 Utilities: Sewer❑Septic Building Height:
01NN'ERJLESSEEyliCONTRACTOR 1
_Name Harry and Lynn Lentz Name; Boysie Ramdial
Address:1301 Trowbridge Rd. 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)332-8686 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 LAW INFORMATION:.
DESIGN ER/ENGI
NEER: 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 Owner/ gent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA/ / STATE OF FLORJDA
COUNTY OF [ ot�`'� COUNTY OF
Theforgoing instrument acknowledged before me The foAgoing instru ent was acknowledged before me
this Y day of 20 16 by this d— day of "l' 20 145 by
Boysie Ramdial 1 Boysie Ramdial
(Name of per o acknowl i ) (Name ofp so ckno d ng)
17
(Sig y u I -State of Florida) (Signat e f N ary 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. (Sea AMBER FIJBiKERission No. ir
AMBER FILENIMIR
NOTARY FILIBUIC NOTARY PU I
FLORIDA OF F6 IDA
Revised 07/15/2014W.-I"VaEls
Comm#EE218692 Comm#EE21 2
Expires 711112016 WCEISW Expires 7/11/21116
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS