HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 31� W Permit Number: W
RECEP,":D MAR 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
PROPOSED INPRQVEMENT LOCATION =y
Address: 513 Paurotis Ln, Ft Pierce, FI 34982
Legal Description. Palm Grove S/D Blk J Lot 14(0.12 AC)(OR 3570-984)
Property Tax ID#: 3410-503-0266-000-4 Lot No. 14
Site Plan Name: Feerick Block No. J
Project Name: Feerick
Setbacks Front Back: Right Side: Left Side:
.1111 DETAILED DESCRIPTION OF WORK
Replacing nine windows in six openings on the home. The installation will be a nail-fin application.
CONSTRUCTION INFORMATION T .
_ - - r
Additional work to be Dertormed under this permit—check a appy:
HVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 4000.00 Utilities:CnSewer OSeptic Building Height:
OWN ER/LESS`EE CONTRACTOR'
Name Cindy&Tony Feerick Name: Jeff Jackman
Address:513 Paurotis Ln Company: Master Craft Aluminum Products
City: Ft Pierce State:Fl Address: 1634 SE Niemeyer Cir
Zip Code: 34982 Fax: City: PortSt Lucie State:FI
Phone No.914-805-1697 Zip Code: 34952 Fax: 772-335-0860
E-Mail: Phone No. 772-335-1177
Fill in fee simple Title Holder on next page(if different E-Mail: mastercraftaluminum@gmail.com
from the Owner listed above) State or County License: SCC131150586
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LI
EN LAW INFORMATION. "
DESIGNER/ENGINEER: _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:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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
commencin wor or recording our Notice of Commencement.
Sig atui of r Agent/Lessee Sign tur f ractor/License Holder
STATE FLORIDA STA LORIDA
COUNTY OF StLucie COUNTY OF St Lucie
The forgoing instrument was acknowled ed before me The forgoing instrument was acknowledged before me
this / day of 6LGl�.c,4_,20�by this I day of y,a,,,, . 20�I by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Sheryl D.Mone
Personally Known O �IQTiOiRali#IIALIC Personally KnownV
¢ ion
Type of Identification Produ STATE OF FLORIDA Type of Identificat
Cantu#FF942382 Carom#F
Commission No. 0"�1/15/2020 Commission No. P ���
Expires
1623
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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