HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: . ) Ld Permit Number: /(L/0.3 `
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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 Residential x
PERMIT APPLICATION FOR: Window/door
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PROPOSED IMPROVEMENT LOCATION
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Address: 367 Notlem St. Fort Pierce, FL 34982
Legal Description: RUHLMAN S/D BLK 3 LOTS 1,24 AND W 1/2 OF LOT 2(0.41 ac)(or 732-291)
Property Tax ID#: 3403-805-0041-000-6 Lot No.1
Site Plan Name: Quinn Block No. 3
Project Name: Quinn
Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A
QETAILED DESCRIPTIONOF WORK
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Replace existing (21)windows in (13) openings with new impact'single hungs
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ONSTRUCT�ON�ItFORTION
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Mona work to e e Orme un er is permit-c ec ,a<.. pp yHVAC 11 Gas Tank Gas Piping ffia
Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator. Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 10,000.00 Utilities: Sewer E Septic Building Height:
OWNER/LESSEE s CONTRACTOP,, s kz� "
Name George Quinn Name: Gary Whigham
Address:367 Notlem St. Company: South Florida Aluminum Products
City: Fort Pierce State:FL Address: 4807 So US Hwy 1
Zip Code: 34982 Fax: City: Fort Pierce State:FL
Phone No.772-466-9009 Zip Code: 34982 Fax: 772-466-1074
E-Mail: Phone No. 772-466-0913
Fill in fee simple Title Holder on next page(if different E-Mail: sfapbooks@sofialum.com
from the Owner listed above) State or County License: CRC1330712
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/EN I EER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: A 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 fpr 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
commenging,work or recording-yDW recording- Notice of Commencement.
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SignatLde of Owner/L /Agent ignature of Contractor/License Holder
STATE OF FLORIDA - �g ATE OF FLORIDA
COUNTY OF .dCM a OUNTYOF-sAiyrLugE
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The fprgoing instrument was ack owl edgedibefore.m =o @ a he forgoing instrument was acknowledged before me
this )�day of '�20/f_t'by �W z his "r" day of MARCH 20 by
A�rO 1A)h�1 A )I t4Wg�o ARY WHIGHAM
( e of pe son acknowled ing) . A; „tib• Name of person ring)
(Signature of Not r Pu I'c-State of Florida) (Signature o otary Public-State of Florida)
Personally Know OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commis 10.00 !lAAT
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MY COMMISSION#FF953138
w EXPIRES January 24.2020
Revised 07/15/2014 �.cr13%Q'b3 Fic,"INn;ary9armemr
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS