HomeMy WebLinkAboutBuilding Permit Application r . 9197760
ALL APINF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:PLICABL Permit Number:
(-� )3
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
w,
PROPOSED IMPROVEMENT LOCATION `
Address: 2491 Keen Rd. Fort Pierce, FL 34946
Legal Description: 36 34 39 THAT PART OF SE 1/4 OF NE 1/4 MPDAF: S 273 FT OF W 375 FT OF E 470 FT
OF N 20 AC OF SE 1/4 OF NE 1/4(2.35 AC)(MAP 13/36N) (OR 3680-760)
Property Tax ID#: 1336-141-0010-010-5 Lot No.
Site Plan Name: Block No.
Project Name: Murphy,#9197760
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK a
�Y
Replacing 2 windows size for size with impact.
.,,. .
n 7 7,77-1-
T7
CONSl"RUCTIC1N;INFORMATION s
, ,.:
Additional work to be nertormed under tis permit—c ec a appy:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3,401.70 Utilities: Sewer 0 Septic Building Height:
SS
NT
. CONTRACTOR
Name Robert and Saralee Murphy Name: Boysie Ramdial
Address:2491 Keen Rd. Company: The Home Depot At Home Services
City: Fort Pierce State:FL Address: 674 S Military Trail
Zip Code: 34946 Fax: City: Deerfield Beach State:FL
Phone No.(561)632-8333 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.
SUPPLEMENTAL CONSTRUCTIONLIEN LAW INFgRMATION"
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 theppermit 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.
Q.� Qc �d�o.,C •� �Q�
Signature ofOwner/Agent/Lessee Signatur of Contractor/License Holder
STATE OF FLORIDA I I , STATE OF FLOPIQA
COUNTY OF COUNTY OF
The for ing ins
trumen was acknowledged before The forgoing.instrunwt was acknowledged before me
me this day of ' 20 16 by this day of 20 16 by
Boysie Ramdial 1 Boysie Ramdial
(Name of pqrsoncknowled g) (Name of pe o acknowle g
(Signatu tary Public-State of Florida) (i7ignaiN VINotary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. % (y�� A,- �N
MBERFLEN 'o � AMIBP&,ENKER
ommission No.OTARY?L! I ;"� NOT
PUBLIC
STATE OF.FL IDA 3 FLORIDA
comm#F.E21559Z Comm#EE215692
Revised 07/15/2014 4CE Sf Expires7/11/2016 or�CE�9�. Expires7111/2016-
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION. SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS .