HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3`311�.6 Permit Number:
J _
� �. �ECEI�,r:D MAR 312016
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 IMPROVEMENT LOCATION:
Address: 82 Aqua Ra Drive
Legal Description: Windmill Village by the Sea- Unit Two- Blk A Beg SE Cor Lot 16
Property Tax ID#: 4511-811-0017-000-3 Lot No.16
Site Plan Name: n/a Block No. A
Project Name: n/a
Setbacks Frontn/a Back: Right Side: Left Side:
DETAILED DESCRIPTION ClrWORK:
Five (5) replacement windows and two (2) replacement doors with same size PGT impact-resistant
windows and doors.
CONSTRUCTION INFORMATION: .
Additional work toa er orme under this permit—check a t appy:
❑HVAC Ei Gas Tank ; Gas Piping En Shutters Q Windows/Doors
❑Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: n/a.. S . Ft. of First Floor: n/a
Cost of Construction: $0,00 Utilities: _Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR-f �
NameJ.effrey/Carol Felix Name: Mark Madden.
Address:1202 Pomelo Ct. Company: HaI64a.!k'Vinyl'improvement Co.
City: Longwood State:FL Address: 1'889 N.1N:22-SY: Y
Zip Code: 32779 Fax: City: Pompano Beach State:FL
Phone No.407-718-3898 1— Zip Code: 33069 Fax: 954-979-1440
E-Mail: C (;CU-tQ' �SIIC.GO�K�/G'!: (pM Phone No. 954-979-6775
Fill in fee simple Title Holder on next page ( if different E-Mail: Hallmarkvinyl@bellsouth.net
from the Owner listed above) State or County License: CRCO25224
Lalue of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN, LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: n/a Name: n/a
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: n/a Name: n/a
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 pern-i t, 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.
i#
� s
gn Owner/Lessee/Agent ign re of Contract icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Oram Q. COUNTY OF
The forgoing instrument was acknowledged before me The forgp'ing instrumentwas acknowledged before me
thisg day of_ 1)19C 4 20 11(, by this,:0 kl day of Mlb/!iCJh 20 r by
01
(Name of person ac owledging) (Name of person acknowledging)
( gnature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida ) , /
Personally Known ✓ hldERttit6,titit➢�1 Personally Known OR Produced Identification v
Type of Identification Pr l�cthu Nota PuWicStateotFlorida Type of Identification Produced
3' ,Jodi Reeves _'' GEORGES LAINE
Commission No. '� '` p�e' �"� 2017 ssasss Commission No. �� fublic,State of Florida
Commisslonq FF 123609
My comm.expires May 15,2018
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION' SEATURTLE ,MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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