HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 05 II
Date:
Permit Number:1� � 1 C�
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
PRQPCOED IT ILOCAA"
Address: 7750 Greenbrier Circle Port St. Lucie, FL 34986
Legal Description: POD 19 PUD II Greenbrier(PB 41-5) Lot 6 (OR 1888-756)
Property Tax ID#: 3322-700-0011-000-7 Lot No.6
Site Plan Name: Block No.
Project Name: Quinn
Setbacks Front Back: Right Side: Left Side: _
DETAILED DESCRIPTION OF WORK:
InSrki.11 d impact Sinljle, hunn �,vindaws,
s
YUh
Adi i nnal work to ff
orme un er t is permit—c ec a appy:
HVAC Gas Tank F]Gas Piping _Shutters 21 Windows/Doors
[I Electric ❑ PlumbingSprinklers Generator E] Roof
Total Sq. Ft of Construction: _ S Ft. of First Floor:
Cost of Construction:$ 2,619.00 Utilities:Sewer Septic Building Height:
QNTRACTOR:
Name Diane Quinn Name: Scott Berman
Address: 15277 Fox Run Trail Company: Florida Window and Door
City: Mishawaka State:IQ( Address: 7108 Fairway Drive#120
Zip Code: 46545 _ Fax: City: Palm Beach Gardens State:-El--
Phone
tate:Phone No.772 429 0653 Zip Code: 33418 _ Fax: 561 624 8037
E-Mail:indirish@comcast.net _ Phone No, 561 340 4300
Fill in fee simple Title Holder 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.
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DfSIGNERjENGINEER: X Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name: —
Address: ' Address:
City: State: _ City: State:
Zip: Phone: Zip: _Phone: _
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 withfany applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
�ti ucture.Pease cor isult wi*.h your Horne C.':ners Association and revie,,you,deed for any restrictions which may .aanly.
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 Owner/Agent/Lessee i Signature of Contra cto is nse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S L�,�7 _ COUNTY OF Palm Beach
The forgoing instrument was acknowledgeri before me The forgoing instrument was acknowledged before me
this till day of -Fe 1�,v✓ e„ 20 7 by this day of 20__L4 by
Diane Quinn A. Scott Be.Tnan
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Sikaaftire iorNotary PP lic-State of Florida)
Personally Known OR Produced Identification_ Personally Known V OR Produced Identification
Type of Identification Produced D'`�rz d,{ic f identification Produ
T_'11'1
tANNA MARIE GREEN t:'°'+i OARC)L A. s 3AM�'> ERSLACommission No. 'e' //_ �CL� ; I% Ifommission#FF 112 5Com fission No. •:xpiresAugust 11,2 1 ZtiF� J,'SSION V FF89771 91111 BaddTkuTroy FWnInwrencs rocs :a q iXFiFtiW Juiy 0J.2319
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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