HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a°1 Permit Number:
'_U SEP 2 9 7.076
RED'.'
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
PRQPUSED IMPROVEMENT LOCATION
Address: 536 Banana Ln. Fort Pierce, FL 34982
Legal Description: PALM GROVE S/D BLK J LOT 32 (0.12 AC) (OR 3796-1060)
Property Tax ID#: 3410-503-0284-000-6 Lot No.32
Site Plan Name: Block No. J
Project Name: Richter,#9484772/9525571 /9525580
Setbacks Front Back: Right Side: Left Side:
DETAfLED TION;'{OF WORK
Replace 3 impact windows size for size. Install 6 accordion shutters. Install 7 impact windows, an
impact door, and impact elite wall panels to create a Category II Sunroom.
CaNSTRSUCTIC#N INFORMATIQIV
Additional wor to be nertormed under t ispermit—c ec a appy:
HVAC Gas Tank ❑Gas Piping �_Shutters Windows/Doors
Electric ❑Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 23,951.00 Utilities:1n Sewer Septic Building Height:
Ow' NER/LESSEE , y CONTRACTOR
Name Robert and Arlene Richter Name: Boysie Ramdial
Address:536 Banana Ln Company: The Home Depot At Home Services
City: Fort Pierce State:FL Address: 674 S Military Trail
Zip Code: 34982 Fax: City: Deerfield Beach State:FL
Phone No.(570)352-8119 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.
Ar
SUPPLEMENTAL CONSTRG'cTIO-N'LIEN LAW INFORMATION
DESIGNER/ENGINEER: Not Applicable pP 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 Signature of Contractor/License Holder
STATE OF FLORIDALM� STATE OF FLORIDA
COUNTY OF COUNTY OF 1,c
The forgo! g instrument as ack owledged before The for oing instrum nt w s acknowledged before me
me this)l day of GMS 20 16 by this'? f day of 20 16 by
Boysie Ramdial 1 Boysie Ramdial
(Name Wpersonowledgin (Name of person ac owledgin
(SignatMeW Notary Public-Sta a of Florida) (Signatu of Kq o ary Pu ic- tate of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. G 1�q 70431, (Seal AmberFl Commission No. 15152 7013 C( (SeaA W Flanker
NOTARY PUBLIC
NOTARY BLIC %/'VCE1i%q;
IDA
TE OF FLORIDA Camn*FF970934
Revised 07/15/2014 's� �• CCMM#FF970934
'ice 19� fres 7
Expires 711112020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS