HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1s R
RECEIV 7-D NOV 14 2016
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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 LOCATIQN r `
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Address: 249 Bimini Drive
Legal Description: Coral Cove Beaqch-Section One-BIk 2 Lots 9& 10 and N 10 Ft of VAC Alley Adj on
S (or 783-1747: 3713-2209: 3716L1 778)(0.44 AC- 19200 SF)
Property Tax ID#: 1425-701-0031-000-6 Lot No.9& 10
Site Plan Name: Block No.
Project Name:
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Setbacks Front Back: Right Side: Left Side:
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ILED DESCRIPTION OF WORK
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Replace 2nd Floor bathroom window. /,44 P R,--` C°r f aes
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CONSTRl1CTI0N INFORMATION
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Additionalwork toe e orme l under this permit—check a appy:
HVAC E]Gas Tank ❑Gas Piping _Shutters ✓�Windows/Doors
11 Electric 0 Plumbi Ig Sprinklers E Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor: 868
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Cost of Construction:$ 300 i Utilities: _Sewer E]Septic Building Height:
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OWNER/LESSEE CONTRACTOSR
Name Randy Murdock Name: Randy Murdock
Address:249 Bimini Drive Company:
City: Fort Pierce State:_ Address: 249 Bimini Drive
Zip Code: 34949 Fax: � City: Fort Pierce State:FI
Phone No.772-971-7596 Zip Code: 34949 Fax:
E-Mail:Ranmurdock@gmail.com Phone No. 772-971-7596
Fill in fee simple Title Holder on next page(if different E-Mail: Ranmurdock@gmail.com
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
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DESIGNER/ENGINEER: k Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Ix Not Applicable BONDING COMPANY: x Not Applicable
Name: ! Name:
Address: Address:
City: City:
Zip: Phone: i Zip: Phone:
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1 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 HI me 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 pla 1 s,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 pool i,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 recordini your Notice of Commencement.
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Signature of Own /Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S t-yC COUNTY OF
The forgoing instr!kme t was ackno ledged before me The forgoing instrument was acknowledged before me
this V day of W dm 20 by this day of 20 by
(Name of persoii acknowledging) ! (Name of person acknowledging)
(Signature of Notary Pubrid,State ofIFlorida) (Signature of Notary Public-State of Florida)
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Personally Known OR Produced Identific Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. D �
%202� Commission No. (Seal)
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Revised 07/15/201
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