HomeMy WebLinkAboutBuilding Permit Application 9180898
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �! � Permit Number: I_ A)
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Building Permit Application
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
ay.�, s c a - �'n 2� �
FR OPOSEDI.MPRO\/EMENT LQCATI'QN �
Address: 12959 S Indian river Dr.Jensen Beach, FL 34957
Legal Description: 4 3741 N 190 FT OF FOL DESC PROP:BEG 60 FTS OF PT ON W BANKIND RVR,SD PT BEING 335 7112 FTN OF S BDRY OF SEC,TH RUN SWLY TOE RNV FEC RR,TH
NWLY ALG R/W 350 FT M/L,TH NELY TO RIV,TH SELY MEANDERING RIV 350 FT M/L TO POB-LESS SR 707-(31)(OR 298-1876:315-1206)
Property Tax ID#: 4504-340-0006-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Miller,#9180898
Setbacks Front Back: Right Side: Left Side:
DETAILED`DESCRIPTION OF WORK h k, E a ;
Replacing 18 windows size for size (16 impact and 2 non-impact.) Homeowner has existing storm
panels for the 2 non-impact windows.
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Additional work to benerformed under t is permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
11 Electric ❑ Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 16,512.00 Utilities:n Sewer[]Septic Building Height:
LE Ir„ s &CONTRAGTORRf.
Name Jack Miller Name: Boysie Ramdial
Address:12951 S Indian River Dr. Company: The Home Depot At Home Services
City: Jensen Beach State:FL Address: 674 S Military Trail
Zip Code: 34957 Fax: City: Deerfield Beach State:FL
Phone No.(772)530-2009 Zip Code: 33442 Fax:
E-Mail: Phone No. (954)379- 1500
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: CRC046858
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SU.PPLEIVIENTAL CONSTRUCTION LIEN LAW INFORMATIONy
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DESIGNER/ENGINEER: Not Applicable MORTGAGE.COMPANY: , Not Applicable. "�..
Name: 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 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 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 cYf Owner/Agent/Lessee Signatu a of Contractor/License Holder
STATE OF FLORIDA 1 _ STATE OF FLORIDA
COUNTY OF COUNTY OF G-c.
The forgoing instrument as ack owledged before The for ping instruarient wis acknowledged before me
me thisa;L_day of f, 20 16 by this 7ay of ( ; 20 16 by
(Name of per on ckn wle i g NOTARY (Name o son ackno led"ng) y AMBER FLEidKER
STATE OF FLOR11 1A NOTARY PU@I.IC
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Comm#EE215692 STATE OF FLORIDComm#EE219692.
EXpinwt 7111120
(Sign t Notary Public-State of Florida ) (Signature of Notary ublic-State Florida Expires 7/11/201
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. a�5 (Seal) Commission Not (Seal).
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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