HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -Xl Permit Number: / l
RECEgVED
Building Permit Application OCT 2 1 2016
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
PRO ;
POSED IMPROVEMENT,LOCATION " I
Address: 8175 13th HOLE DR PORT SAINT LUCIE, FL. 34952
Legal Description: LINKS AT SAVANNA CLUB ( PB 40-39 ) BLK 35 LOT 19 (OR 3903-210 )
Property Tax ID#: 3425-707-0077-000-4 Lot No. 19
Site Plan Name: Block No. 35
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION'OF WORK
REMOVE AND REPLACE ( 10 ) WINDOWS AND ( 1 ) DOOR
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CONSTRUCTION IN:FORMA, ON: �' I
Additional work to be nertormed under this permit—c ec
a appy:
❑_HVAC Gas Tank Gas Piping _Shutters Windows Doors
❑ a ,
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3 q5• Utilities: _Sewer Septic Building Height:
OWN ER/LESSEE CONTRACTOR;;
Name NICHOLAS & MARTHA ISMAILOFF Name: JEREMIAH JOHNSON
Address:8175 13TH HOLE DR Company: JBR EXTERIORS, INC.
City: PORT SAINT LUCIE State: FL. Address: 1201 SW BILTMORE ST.
Zip Code: 34952 Fax: City: PORT SAINT LUCIE State:FL
Phone No. Zip Code: 34983 Fax: 772-871-6377
E-Mail: Phone No. 772-873-0600
Fill in fee simple Title Holder on next page(if different E-Mail: info@jbrexteriors.com
from the Owner listed above) State or County License: CBC1260687
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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S.UPPLEMENTAL,CONSTRUCTI0 RUEN°LAW INFORMATION;: . I; ,
_�.,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:f _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
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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
commen .ng work or recording our Notice of Commencement.
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Signature O ner/Lessee/Contractor as Agent for Owner Signat re of Contractor/License Holder
STATE OF C UNTY OF FLORIDA�9_ STATE OF COUNTY OF FLORIDA
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The forgoing instrument w s acknowledged efore me The forgoing instrument was acknowledged before me
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thiday of - 20 / by this_Z) day of G�f 20 ff,, by
3tg, iy{ 3oku (-Z 'ems? fWIfAA 1nLLtsn 1
(Name of person acknowledging) (Name of person acknowledging)
(S' u e o otary Public-State of Florida) (Sig tur o o arylPublic-State of Florida)
Person y Known OR Produced Identification Personally Known Produced Identification
Type of Identification Produced Type of Identification roduc
Jt&A
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Notary��tate of Florida Nalic State of Florida
Commission No. Commission No. , �: J® 3
Joshu a Albedco M have Alberico
My Commission GG 020879 y Commission GG 020879
Expires 08116/2020 �><plros 08/16/2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS