HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i cy
Date: 11 Permit Number:
;= f 4 R E C E I''^.� �; 09 2010
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
�PROPOSEO tMPROVItM"' NT LOCATIC}N
Address:4919 Tamoka Ct. Fort Pierce, FL 34951
Legal Description: HOLIDAY PINES S/D-PHASE II-B-LOT 333(MAP 13/13N)(OR 2979-1860; 3332-1819)
Property Tax ID#: 1312-801-0136-000-2 Lot No.333
Site Plan Name: Block No.
Project Name: Hayes, Noreen
Setbacks Front Back: Right Side: Left Side:
DETAtC:EQ DESCR{PTI�N OF WC►R F '
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Replacing 8 windows and 1 door size for size with impact.
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GONSTRUGTCON INFORMATION X z, gka k a
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Additional work to be nertormed under tis permit—check all appy:
❑HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ �� �� o Utilities: _Sewer 0 Septic Building Height:
OWN"ER/LESSEE Pim 's RAC ' #R
CONT
Name Noreen Hayes Name: Boysie Ramdial
Address:4919 Tamoka Ct. 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.(772)429-3260 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: SL I�
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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 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 cr recording our Notice of Commencement.
Signature o Owner/Agent/Lessee Signaturg of Contractor/License Holder
STATE OF FLORID STATE OF FLORIgA(
COUNTY OF IA�-� COUNTY OF (AVe--
The forgoing instrument as ac nowledged before The f r oing instru nt was Acknowledged before me
me this day of 20 16 by this day of O(I'eMY1Gr 20 16 by
1 /4' e� ?D Sc e- ' emlt Ct l
(Nameof person acknowledging) .(Name person acknowledging)
(Signatu a of 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
(Seal) 7"73 (Seal)
Commission No. 1'`l7D`f3 Seal Commission No.
y Amer Fler Amur Renker
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STATEOF FLORIDA '' STATE OF FLORIDA
Revised 07/15/2014 Comm#FF970934
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ares 7/11/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS ,