HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i
Date: "'ICA Permit Number:
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Building Permit Application JUL •- 1
Planning and Development Services PEF;'yi►-Ti;�G
Building and Code Regulation Division St. Lucie County, i=L
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
PROP'QSED IMV 'kb UEMENT LOCATIQN
Address: 5907 Walnut Park Ln. Fort Pierce, FL 34951
Legal Description: PORTOFINO SHORES-PHASE TWO-(PB 43-33)LOT 21 (OR 2025-2967)
Property Tax ID#: 1312-502-0028-000-4 Lot No.21
Site Plan Name: Block No.
Project Name: Mascolo,#9404236
Setbacks Front Back: Right Side: Left Side:
DET JLED DESCRIPTION`=OF WORK
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Replacing 1 door size for size. Homeowner has existing hurricane panels for storm protection.
L,- (}"Q"T'tON INFORMAitiona wor to be nertormed under tispermit—check all t appy:
11HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 5,016.00 Utilities.
In Sewer[]Septic Building Height:
,C}WNER`/LESSEE CONTRACTOR ;
Name Neil Mascolo Name: Boysie Ramdial
Address:5907 Walnut Park Ln. Company: The Home Depot At Home Services
City: Fort Pierce State:FL Address: 674 S Military Trail
Zip Code: 34951 Fax: City: Deerfield Beach State:FL
Phone No.(914)844-5231 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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SUPPLEMENTAL CONSTRUCTION LIEN LAW�INFORIVIATIGIN
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DESIGN ER/ NGINEER: 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 islin 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.
23a..-...--dua'L
Signature of Owner/Agent/Lessee Signatur of Contractor/License Holder
STATE OF FLORIDA/ I STATE OF FLORID
COUNTY OF (�4Y►� COUNTY OF
ke—
The forgoing instrument-was acknowledged before The forgoing instrument as acknowledged before me
me this�fI day of Jit 20 16 by this 0 day of -T l 20 16 by
Boysie Ramdial 1 Boysie Ramdial
(Name ype (Name of perso ack wledgin
(Sign t No ary Public- ate of Florida) (Sign o No ary Pu lic e f Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 70q 3`f AnAw Commission No. Fr,T70a 3Y (Seal)
t NOTARY PUBS
STATOF FLO IDA ��
Comm#FF970934 STATE OF C
Revised 07/15/2014 a i9� Expires 7/11/2020 FLORID
WPCMWWFF970934.
fres /11/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS