HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:�� \ \ �� Permit Number:
RECEl', d AUJ 01 201E
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
PROPOSED IMPROVEMENT LOCATION
Address: 3711 Mockingbird Hill Ln.Jensen Beach, FL 34957
Legal Description: 4 37 41 SLY 101.89 FT OF WLY 426FT OF S 200 FT OF N 380 FT LYG WLY OF IND RIV
DR OF THAT PART OF SEC AS DESC IN DBK 149 PGS 73-75 (OR 3541-1694)
Property Tax ID#: 4504-310-0018-100-1 Lot No.
Site Plan Name: Block No.
Project Name: Zuver,#9453752
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Replacing 1 door and 7 windows-size for size with impact.
CONSTRUCTION INFORMATION_
Additional work toe e orme underd this permit-c ec a appy:
HVAC Ei Gas Tank E]Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
v.�
Cost of Construction:$ 1 Utilities. _Sewer Septic Building Height:
OU1/NE;R/LESSEE CONTRACTOR
Name Jack and Mary Zuver Name: Boysie Ramdial
Address:3711 Mockingbird Hill Ln. 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)216-4980 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.
r
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFOItMATIQN,,,
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 of Owner/Agent/Lessee Signaturg of Contractor/License Holder
STATE OF FLORID/}► .`' STATE OF FLORJDAt
COUNTY OF pct COUNTY OF . L.4
The forgoing instrument was acknowledged before The for oing instrum�eer t was acknowledged before me
me this�day of 'St t 20 16 by this Wk day of JitV 20 16 by
Boysie Ramdial 1 Boysie Ramdial
-_, _(Name of person ckn(_ledging_)_ _ (Name of persn a owledgi_ _
Ad—,
(Signatbre of ota ublic-State of Florida) (Signat of ry 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
-Commission No. a7O `J� I Ami Flamer Commission No. �70 13 It (SFlanker
NOTARY PUBO NOTARY PUBLIC
Revised 07/15/2014 Caron#FF970934 0 Carwrt!#FF970934
�'�'E 19� Expires 7/11/2020 Expires 7/11/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS