HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDI
Date: Permit Number:
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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 I Residential xx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at�the end of line
PROPOSED'IMI?ROVEMENT LOCATION
�Grw, x
Address: 2711 A Ocean Drive., Ft. Pierce, FL 34949
Legal Desfi g:COVE BEACH-SECTION ONE- BILK 7 N 31.94 FT OF S 57.94 FT OF LOT 5 AND E 10 FT
O� VA - 3550-889)
Property Tax ID#: 1425-701-0167-260-8 Lot No.
Site Plan Name: Block No.
Project Name: wINDOW REPLACEMENT
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF V1/.ORK 4 7
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ow
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Fixed window: i
REPLACE WINDOWS --- PGT-PW15420- NOA No. 14-0930.24
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Single Hung window: PGT-5500 - NOA No. 15-0519.05
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CONSTRUCTION.INFORMATION f IS,
Additional work toe e orme under this permit—c ec a appy:
HVAC E] Gas Tank ❑Gas Piping _Shutters xx Windows/Doors
Electric Plumbing Sprinklers 0 Generator EIRoof
Total Sq. Ft of Construction: S . Ft.of First Floor:;
Cost of Construction:$ Utilities: _Sewer Septic Building Height:
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OWNER/LESSEE CONTRACTOR o ,_
Name LONNIE D. HINGATE Name: RAY VILLANO I
Address: 2223 SURRY ST. SE Company: VILLANOVA CONSTRUCTION INC.
City: . MARIETTA, GA State: GA Address: 2908 OLEANDER BLVD.
Zip Code: 30067 Fax: City: FT. PIERCE; State: FL
Phone No. 772-696-3969 Zip Code: 34982 Fax:
E-Mail: Phone No. 772-940-6654
Fill in fee simple Title Holder on next page(if different E-Mail: RAYVILLANOAOL.COM
from the Owner listed above) State or County License: CRC 1327518
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION; `
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: I 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:
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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.
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_Signature of Owner/Lessee/Agent ignatffre of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF S- c<e--
The
The forgoing instrument was acknowledged before me The forgoingfoinstrument was acknowledged before me
this o`� i(,fday of QA8A 20 16 by this day of2226,�E&CG- 4 20 16 by
(Name of persHn acknowledging) (Name of persona&'06-ledging)
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(Signature of Notary Public-Stale of Florida) (Signature of Notary Public-Stat of Florida)
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Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced'
Y�S 1.131Q•U -�i0
Commission No. (Seal) Commission No. (Seal)
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Revised 07/15/201 co•�`"�`";d., Notary P�b1io fres Dee 20.2018 HNI GRAM 3
��_• State of Florida ,
• MY Comm.ExPn#FF 177249 o••�v,n� LASu Aic s
',,oy °•` Nations i°s •°= ExPir s e:
dthro h -MY Comm. 249
REVIEWS FRO T'''M111••`• IN R ISOR PLANS VEGET I A� ,y�I ion PAQV
COUN EW REVIEW REVIEW REV[ %; °FFA ' R� WoughN ion 1E1it1
DATE
COMPLETE
INITIALS
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