HomeMy WebLinkAboutBuilding Permit Application - M 8960064
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:°� �° Permit Number: `rod"a-�35�
LJ
RECEIl 7D FEB 19
Building Permit Applicati®n
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 IMEMENT LOCATION; 6
4
P>RO\/
Address: 207 N 39TH St. Fort Pierce, FL 33023
Legal Description: WILBUWE BLK 6 S 30 FT OF LOT 16 AND N 45 FT OF LOT 17 (0.21 AC)(OR 3808-439)
Property Tax ID#: 2408-603-0071-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Samuels,#8960064
Setbacks Front Back: Right Side: Left Side:
# Z
DETAILE[ DESCRIPTION
Replacing 5 windows size for size with impact
CONSTRUCTION IN"FORMATION
.. . .. r �..
Additional worK toa er orme ec un ert is permit all appy:
HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers El Generator El Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 5,564.00 Utilities:cnSewer Septic Building Height:
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OWNER/LESSCONTRACTOR:
Name Samuels Investment Properties LLC _ Name_Boysie Rgmdial
Address:207 N 39TH St. Company: The Home Depot At Home Services
City: Fort Pierce State:FL Address: 674 S Military Trail
Zip Code: 33023 Fax: City: Deerfield Beach State:FL
Phone No.(786)246-7121 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.
r .
SUPPLEIVIENTALCONSTRUCTION LIEN,,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 Ownel Agent/Lessee SignatLYre of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORI�
COUNTY OF LQ COUNTY OF
The forgoinginstrumen w s acknowledged before The orF' instrument was acknowledged before me
me this Iday of ebrcL6z 20 16 by this�day of 20 16 by
Boysie Ramdial L Boysie Ramdial
(Name of per n knowledgi (Name of son ac edging)
(Sign atLWjff&ary P Ic-Sate of :Iorida MFAure otary 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. ( t'iaf�l0c�- — (Seal) AMB 9C9�Rn No. /�a� ��- (Seal), AMBER F NKER
NOTARY PUBLIC i NOTARY IC
STAT OF FLORIDA
Comm#EE215692 ORIDP
Comm#EE 5692
Revised 07/15/2014 19� Expires 7/11/2016 oe►e Expires 7/i /2016
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