HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/19/2017 Permit Number:
RECEIti''D JAN 19 2017
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,IMP.ROVEMENT.LOCATION
Address: 7605 Pensacola Road,Ft. Pierce, FI 34951
Legal Description.. Lakewood Park-Unit6-BLK 67A Lot 29(Mapl3/02S)(or 3811-78)
Property Tax ID#: 3101-606-0228-000-1 Lot No.29
Site Plan Name: Lakewood Park Block No. 67A
Project Name: Impact Windows
Setbacks Front Back: Right Side: Left Side:
DETAILED DES -RI
PTION`OF WORK
Replace current windows (11)with impact windows. As well as replace sliding glass doors (2)with
impact doors.
CONSTRUCTION INFORMATION
Additional work to be Derformed under this permit—check all appy:
HVAC Gas Tank OGas Piping _Shutters ✓�Windows/Doors
11 Electric 0 Plumbing O Sprinklers E]Generator Roof Roof pitch
Total Sq. Ft of Construction: S . of First Floor: 1224
Cost of Construction:$ 15,500 Utilities:n Sewer F Septic Building Height:
OWNER/LESSEE: _'� „CONTRACTOR
Name Loralynne Schneider Name:
Address:7605 Pensacola Road Company:
City: Ft.Pierce State:Fl Address: current
Zip Code: 34951 Fax: City: State:
Phone No.443-825-9155 Zip Code: Fax:
E-Mail:loralynne26@live.com Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
.S'UPRLEMENTAL CONSTRUCTION LIEN'LAW INFORMATION,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name: veteranaunited
Address: Address: POB-77404
City: State: City: Ewes State: NJ
Zip: Phone: Zip: 08628 Phone: 877-629-6992
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 first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
-4-ct,� c s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF-n COUNTY OF
The for ng instrument was acknowledged before me The forgoing instrument was acknowledged before me
this� ay of G 20 L1 by this day of 20 by
Lorcdgn Shr, �,(�
(Na of person acknowledging) (Name of person acknowledging)
(Sig ature f Notary ublic-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification-�,C Personally Known OR Produced Identification
Type of Identification Produced T-L Di-- Type of Identification Produced
Commission NO.F F 9';J--38 I (Seal)�_NOTnp!=
gtephaniinission No. (Seal)
IC
Revised 07/15/2014Comm#FF957381
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Expires 2/4/2020
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