HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -4. 17 Permit Number:
Building Permit Application REQaVao
Planning and Development Services
Building and Code Regulation Division APR 11 2017
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Window/door
PROPOSEDJ
Address: 6506 PALOMAR PKWY,APT A
Legal Description: LAKEWOOD PARK-UNIT 12-A-EILK 173-A W 16.50 FT OF S 158.47 FT OF LT 12 AND E.63.71 FT OF
LOT 13/13N)(OR 3639-2559)
Property Tax ID#: 1301-615-0137-000-4 Lot No.
Site Plan Name: Block No. 173
Project Name: CSC INVESTMENTS
Setbacks Front— Back: Right Side: Left Side:
REPLACE 8 WINDOWS
I J 4
CONSTRUCTION INFORMATION 2'
Q-
ed undertnis permit cheCKall[jappiy:
Aciclitional work to I P Pprrorm
–, ,
1JHVAC E]Gas Tank [:]Gas Piping Shutters Windows/Doors
11 Electric E]Plumbing ESprinklers FIGenerator F] Roof Roof pitch
Total Sq.Ft of Construction: S . of First Floor:
Cost of Construction:$ UtilitiesIn 1100.00 Sewer Septic Building Height:
Name CSC INVESTMENTS PROPERTY LLC Name: MICHAEL CONRAN
Address:1001 S.E MONTEREY RD Company: CONTRACTOR SERVICES OF SOUTH FLORIDA LLC
City: STUART State:FL Address: 1001 S.E MONTEREY RD
Zip Code: 34994 Fax: City: STUART State:FL
Phone No.7722835763 Zip Code: 34994 Fax:
E-Mail:SFREALTYSERVICES@YAHOO.COM Phone No. 7723613227
Fill in fee simple Title Holder on next page I if different E-Mail: SFCONTRACTOR@YAHOO.COM
from the Owner listed above) State or County License: CBC1 261632
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUFPLEMEiUTAL CONSTR[lGTIDN LIEN LAW iNFrORMATiOi 3
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,.DESIGNER/ENG .... . ...... ... ...... ..., ,. .. . .,.. .s,. . �.,. ,. ..,
(NEER: 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 twlce for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first in pect' n. If you intend to obtain financing, consult with lenof r or n attorney before
commenci o a rding your Notice of Commencement.
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Signature o Owner/Lessee/Contractor as Agent for `?�: Signature o Contractorjl icens older
STATE OF FLORID r ,r ,..c
•°:�•• �`�' STATE OF FLOR!
COUNTY OF m COUNTY OF
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The forgoing instrume was acknowledged before z�o 85 9ffl The forgoing instru ent was acknowledged before
this�day o€ 20 by o C this 4! _day of .20 by
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(Name of person acknowledging) (Name of person acknowledging) z
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(signature of Notdry Public-State of Florida / (Signature of N VN
Public-State of Florida)
Personally Known ORro a Identriificaation'' Personally Known r duced Identification
Type of Identification Produce `—�� Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS