HomeMy WebLinkAboutBuilding Permit Application 9006243f''
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED. r�
Date: Permit Number: (0fir6'00391
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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 Resid i ntial X
PERMIT APPLICATION FOR: Window/door
3
`PROPOSED IMPROVEMENT LOCATION
Address: 5101 Birch Dr. Fort Pierce, FL 34982
Legal Description: INDIAN RIVER ESTATES-UNIT 07- BLK 50 LOT 24(MAP 34/02S)(OR-1 169-912; 2313-131 ;3777-253)
.Property Tax ID#: 3402-608-0372-000-7 Lot No.24
Site Plan Name: Block No. 50•
Project Name: Wile, Novotini,#9006243
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPl IONFOF WORK
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Replacing 12 windows size for size. Homeowner has existing accordion shtlatters and storm panels.
CONSTRUCTION INFORMATION
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Additional work toa er orme un er t is permit—check a a appy:
HVAC Ei Gas Tank E]Gas Piping _Shutters Vi Windows/Doors
Electric ❑_Plumbing []Sprinklers 1:1 Generator E] Roof
Total Sq, Ft of Construction: S . Ft.of First Floor: ;'l
Cost of Construction:$ Utilities: Sewer o Septic Building Height:
Name Timothy Wile ,-,Name:_ Boysie Ramdial I�
Address:5101 Birch Dr. 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.(772)834-4757 Zip Code: 33442 1 I 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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: f Not Applicable
Name: Name:
Address: Address: I
City: State: City: 1 State:
Zip: Phone: Zip: Phone: I
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:' I.
City: City:
Zip: Phone: Zip: Phone: I
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.
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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 arid posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender ori an attorney before
commencing work or recording our Notice of Commencement.
-Signature of Own r/Agent/Lessee Signature of,Contractor/LicenselHolder
STATE OF FLORIDA ( STATE OF FLORID�'r
COUNTY OF COUNTY OF
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The forgoing instrumer�t was acknowledged before me The forgoing instrument Was acknowledged before me
this I day of -ebt tt 20 16 by this i day of Gb(udr 20 16 by
BoY sie Ramdial Boysie Ramdial
(Name of person acknowled 'ng) (Name of person cknowledging)
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(Signature of Notary Public-State of Florida ) (SigndtLre of Notary Public-St fte of Florida)
Personally Known x OR Produced Identification Personally Known x OR,Produced Identification
Type of Identification Produced Type of Identification Produce
Commission No. ��a� �4fI (Seal) AMBER FILEN E�Cimmission No. ��, a (Seal)
NOTARY RUBL AMBER FLENK
STATE OF FIDA I NOTARY Pl1K
Comm#EE215692 i ATE ! A
Revised 07/15/2014 ` ��`° xpires 7111/2016 Comm#EE2156
°'^ iso Expires 7/11/20 6
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION ,I, SEATURTLEMANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW ' REVIEW
DATE
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