HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
7300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Shutter i► G �
PROPOSED IMPROVEMENT LOCATION:
Address: 5857 Moss Ct.,Fort Pierce F134982
Legal Description: The Grove Condominium Scection 1 Unit la
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Property Tax ID#:3410-507-0001-000-1 Lot No.
Site Plan Name: Block No.
Project Name:Russell Carpenter
Setbacks Front Back: Right5lde: Left Side:
DETAILED DESCRIPTION OF WORK: {
Replacement of
CONSTRUCTION-INFORMATION:
t ona wor to er orme under this permit—c ec a apply:
HVAC 1,Gas`Tank ❑Gas Piping Shutters windows/Doors
❑Electric 0 Plumbing []Sprinklers ❑Generator L-1=,1 Roof -
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 6414.00 Utilities: Sewer❑Septic Building Height:
OWNER/LESSEE: CONTRACTOR: :
Name Russell Carpenter Name:Toby Tokes h
5857 Moss Ct.
Address: Company:Armorvue Window&Door
City: Fort Pierce State: Fl Address:1000 Clint Moore Rd Ste 109
Zip Code: 34982 Fax: City:Boca Raton State:FL
Phone No. 561-232-9828 Zip Code:33487 Fax:
E-Mail: russell.carpenter@fpl.com Phone No.. 561-988-4222
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:CRC1330842
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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 LAW INFORMATION:
DESIGNE ENGINEER: _Not Applicable MORTGAGE COMPANY: I _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 the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenantsthat 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.
Signature of Owner/Age essee Signature/6f Con ct r/ucensei Holder
STATE OF FLORID STATE OF FLORID
COUNTY OFloe COUNTY OF I — i
- ( Annn::6�L
The forgoing instrum twas acknowledged efore me The forgoing instrum n was 4cknowledged before me
this–.L( day of 2 _by _--_ this�day of �" Y
(Name of perso acknowle Ing) (Name of pers acknowl
(Signature of Notary Pu=5tarida (Signature of Notaryublic-St' a Florida}
Personally Known Identification Personally Kr}own— 0R Produced Identification
Type of Id�ntlfication,-r----- e_-- Type of Iden Ifi�alt�lY Produ�
1 ` �° �Bo1e I Commission r MYGCNfF11lSSPOhl �1;=i
Commission No+Tt tUlti=�o�M'�4 SSI�Ai 8<FTtS i19R? r�r F;brUa(y 92,�^090
,w= XC�I?2 February 9 2."09� a�rr)^,�Q.p a3 F ri loA ote ySarvtco.mm
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION j SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW ( REVIEW REVIEW
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COMPLETE
INITIALS �
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