HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 1 Permit Number:AI
RECEIVE_0 JAN 11 7U`17
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
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PROPOSED (M'PR01/EMENT LOCATION xE, a
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Address: 7606 Deland Ave. Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 6-BLK 67 LOT2(MAP 13/02S) (OR 3461-2496)
Property Tax ID#: 1301-606-0171-000-6 Lot No.2
Site Plan Name: Block No. 67
Project Name: Hughart,#9756350
Setbacks Front Back: Right Side: Left Side:
QETAILED DESCRIPTION OF WORK >
Replacing 10 windows (8 impact and 2 non-impact) and 1 non-impact door size for size.
Homeowner has plywood for storm protection.
CONSTRUCTIC)N INFORMATION x '`
Additionalwork to be nerformed under tispermit—check all appy:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
❑Electric ❑ Plumbing Sprinklers El Generator El Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 13,970.70 Utilities:Cn Sewer 0 Septic Building Height:
aWNER/LESSEECON ;TRACTOR
Name HRJS LLC Name: Boysie Ramdial
Address:7606 Deland Ave. Company: The Home Depot At Home Services
City: Fort Pierce State:FL Address: 6500 NW 12TH Ave. Suite 110
Zip Code: 34951 Fax: City: Fort LauderdaleState:FL
Phone No.(772)461 -8430 Zip Code: 33309 Fax:
E-Mail: Phone No. (754)224-2010
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFC)RMAI-IQN�
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:a+ a 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 or recording our Notice of Commencement.
Signature of 0 ner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIQA/, STATE OF FLOI�ID�
COUNTY OF _ (�� COUNTY OF 1,et,
The forgoing instrument was acknowledged before Theoing InstC�ent was acknowledged before me
me this_5__day of a 20 Irby this for� day of v a.►1 Q P 20_1 by
Edward Guillory Edward Guillory G
(Name o person acknowledging) (Name of person acknowledging)
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U,(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Q
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Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. bra-7013 tl(� (Sea Ami er fission No. FFcl 70`r 3L( ,. al)
NOT Amber Flenke-
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STATE F FLORIDA "' NOTARY P,
Vla om .lNIM
Revised 07/15/2014 WE I Expires 7/11/2020Comm#FF�r-.,.y.y:
Expires 7/11120:`
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