HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:am-
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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 LOCATION:
Address: 5167 N A1A Unit 606 Fort Pierce, FL 34949
Legal Description: Ocean Harbour Tower Condominium E Unit 606(OR 2850-1659)
Property Tax ID#.. 1411-709-0044-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Beedy
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Ins+all 1 imPaC4 OUfisw 09 Jaar,
CONSTRUCTION INFORMATION:
Additional work toeDer orme un er t is permit–check a apply:
HVAC 11 Gas Tank []Gas Piping _Shutters Windows/Doors
11 Electric E] PlumbingSprinklers 0 Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
2,125.00 '
Cost of Construction:$ Utilities: _Sewer�Septic Building Height: 6�
OWNER/LESSEE: CONTRACTOR:
Name Everett Beedy&Dorothea Beedy Name: Scott Berman
Address:5167 N A1A Unit 606 Company: Florida Window and Door
City: Fort Pierce State:FL Address: 7108 Fairway Drive#120
Zip Code: 34949 ,J Fax: City: Palm Beach Gardens State:FL
Phone No.0)q I– –! 2,Z" SV73 Zip Code: 33418 _ Fax: 561 624 8037
E-Mail: O t 6,ecd4 J.,t @ Phone No. 561 340 4300
Fill in fee simple Title Frolder on next page ( if different E-Mail: howard@floridawindowanddoor.com
from the Owner listed above) State or County License: CGC1509450
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ,
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: ineef'In!� J�Xpre55 Name:
w AJ n rt�"L.
Address: & St "' Aknuc, "Iota Address:
City: ^1kne`-ries Ger'C6 State: FL City: State:
Zip: 33yy'1 Phone: 9Sy-_35y-o[,6n Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: ✓ Not Applicable
Name: AacJ3 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 recordi our Notice of Commencement.
Signatur Owner/Agent/Lessee Signature of C icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF Palm Beach
The for ping instru en was acknowledged before me The for ping instrument was acknowledged before me
this day of 2p by this day of _ 20 by
44
(Name of person acknowledging) ® (Name of person acknowledging)
�1 4,
( ature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida )
Personally Known OR Prod uc�,Identification 1/ Personally Known , OR Produced Identification
Type of Identification Prod L c7q::_----�� Type of Identification Producecl
F CAROL A.HAWMERSLA o i'r'wi CA OL HAMMERSLA
k :� P✓1Y(�{ ;;�lJN t ommission No. �Y � fON# F897717
Commission No. _, 8J771 ry
'A f
EXPIRES July 09,2019 ', aFP EXPIRES July 09,2013
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS