HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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 1MPR01%EMET LOCATION ' v
Address: 6706 Ocala Avenue Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 10- BLK 133 E1/2 LOT 4 AND ALL LOT 5 (MAP 13/0IS) (OR 3893-1365)
Property Tax ID#: 1301-612-0346-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DE "CRIPTfON 0-F WORK
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WINDOWS, DOORS AND SHUTTERS
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Additional wor to be nertormed under this permit—CheCK all t appy:
HVAC Gas Tank []Gas Pip ing _Shutters Q Windows/Doors
0 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: N/A S Ft. of First Floor:
Cost of Construction:$ 2,480.00 Utilities:In Sewer[]Septic Building Height:
OWyNER�LESSLE. y � � � CONTRA�CTOR � . a �
� . .
Name St. Lucie County Sherriffs Office Name: Gary Whigham
Address:4700 W Midway Road Company: South Florida Aluminum Products
City: Fort Pierce State:FIL Address: 4807 So US Hwy 1
Zip Code: 34981-4825 Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 34982 Fax: 772-466-1074
E-Mail: Phone No. 772-466-0913
Fill in fee simple Title Holder on next page ( if different E-Mail: sfapbooks@soflalum.com
from the Owner listed above) State or County License: CRC1330712
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIQ'N LIEN LAIN INFQRMATION
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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 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 pear n. If you intend to obtain financing, consult wir nd ttorney before
comme rork or re ordin our Notice of Commencement.
s
§ig—na- er Lessee/Contractor as Agent for Owner a of Co actor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 22ndday of November 20 16 by this 22nd day of November 20 16 by
Gary Whigham Gary Whigham
(Name of person acknowledging) (Name of person acknowledging)
(Signa re of Notary Public-State of Florida ) (Signature o 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
. ' MARY Air"•! MATONTI �►"'''• MARY ANN MAT N
Commissio f11Ro GCPAN419SION# 31138 Commissio FIPd. :_- �8
kHSSION#F��531T18
3�0,1� EXPIRES January 24.2020 ';'re. EXPIRES January 24.2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS