HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED jTs-
Date:
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Date: Permit Number: 1 ( J
® r . RECEIVE®
Building Permit Application g
Planning and Development Services jUN 13 2016
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 llti%IPROVEMENT �OsCATIC�N „ mss
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Address: 3,115 Sunrise Blvd. Fort Pierce, FL 34982
Legal Description: MARAVILLA HTS BLK A LOTS 24 AND 26(0.49 ac) (or 2492-2327;2980-1298; 3623-1089)
Property Tax ID#: 2428-601-0022-000-5 Lot No.24&26
Site Plan Name: Block No. A
Project Name:
Setbacks Front 414— Back: Right Side: Left Side:
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-'D ETA WORK y ' r
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WINDOW REPLACEMENT � � ���or>l� /r��� ��'�il/��✓�S
CONSTRUCTIONINFORN1i4TION Fri
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Additional work toe e Orme under this kpermit—c ec a appy:
HVAC E]Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric El Plumbing Sprinklers 11 Generator E] Roof
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Total Sq. Ft of Construction: SFt.of First Floor:
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Cost of Construction:$ l 0 Utilities: _Sewer E Septic Building Height:
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OUVNER/LESSEE _ � � � � x
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0 RACOR
Name TARA M KREISER,DARYL CLARK Name: GARY WHIGHAM
Address:3115 SUNRISE BLVD Company: SOUTH FLORIDA ALUMINUM PRODUCTS
City: FORT PIERCE State:FL Address: 4807 SO US HWY 1
Zip Code: 34982 Fax: City: FORT PIERCE State:FL
Phone No.772-216-7704 Zip Code: 34982 Fax: 772-466-1074
E-Mail: Phone No. 772-466-0913
Fill in fee simple Title Holder on next page(if different E-Mail: SFAPBOOKS@SOFLALUM.COM
from the Owner listed above) State or County License: CRC1330712
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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PLEMFNTA Y CONSTRUCTIQN I,I xN LAIN"INFORMATION' Y
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DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 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 you paying twice for
improvements to your property.A Notice of Commencement must be recorded and-posted' n the jobsite
before the firs 'ns ection lf-yau intend to obtain financing, consult With-1 r or an attor �y before
commend w r or recordi our Notice of Commencement.
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_Slgnatur i of Owner essee/Agent Signature of Contract r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF.SAINTLUCIE
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The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 6TH day of JUNE 20 16 by this sTH day of JUNE Zp 16 by
GARY WHIGHAM
(Name of person acknowledging) (Name of person acknowledging)
(Signature Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
ye %" MARY ANN A IT1ONTI MARY ANN MA�Ql��1
Commission dO y MISSIO 0953138 Commissi r}�;tD�"-
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EXPIRES January 24.2020 MY COMMISSION u FF953138
a 24_2020
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS '