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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: `® aLs Permit Number: RECLE -U fD l 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 COI mercial Residential X PERMIT APPLICATION FOR: Window/door PROPOSED IMPITOIEME T LOCATIQ:N s Address: 102 NW Airoso Blvd. Port Saint Lucie, FL 34983 Legal Description: RIVER PARK-UNIT 8-BLK 139 LOT 1(MAP 34/28N)(OR 3810-1145) Property Tax ID#: 3419-555-0001-000-7 Lot No. 1 Site Plan Name: Block No. 139 Project Name: Rebellon,#9626810 Setbacks Front Back: Right Side: Left Side: DETAILED DESCR)PTIbNC}F WORK Replacing 10 windows size for size with impact. eosTRucTOiu IiORMAi TI�{ r 5 di�d Additional work to be nerrormed under tispermit—check all appy: HVAC Gas Tank 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:$ 12,609.00 Utilities:In Sewer Septic Building Height: li,01t 1f -1 LESS` Z! ,_ v xCf3NT,RACTOR s g " . . k.. 6 mrw, s a, w n, Name Nelly Rebellon Name: Boysie Ramdial Address:102 NW Airoso Blvd. Company: The Home.Depot At Home Services City: Port Saint Lucie State:FL Address: 674 S Military Trail Zip Code: 34983 Fax: City: Deerfield Beach State:FL Phone No.(561)670-5623 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. . o SUfiPPLElUIENTALC©NSTRUCI'IQN Ll'E11�3'lAW`lNFORMA {U ' DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEEESIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 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 Own r/Agent/Lessee Signatu e`of Contractor/License Holder STATE OF FLORID4. STATE OF FLOI�D# COUNTY OF COUNTY OF (�•t ��F The forgoin instrume w s a knowledged before The for oing instrum t asacknowledged before me me this�day of 20 16 by this day of L 20 16 by ny O Ramdial 1 Boysie Ramdial '+ �+ a of person a kno ledging) (Name of er n acknow gin ) v r D X 0 Q O! � ture of Notary Public-State of Florida) (Si ature of Notary Public-State of Florida) P�Ys�nally Known x OR Produced Identification Personally Known x OR Produced Identification c e of Identification Produced Type of Identification Produced Commission No. F °)7 3 q (Seal) Commission No. r 1 70 3 (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW . DATE COMPLETE INITIALS