HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
Building Permit Application APR 11 2017
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; M ,�
.P ,T !,0
Address: 6506 PALOMAR PKWY,APT B
Legal Description: LAKEWOOD PARK-UNIT 12-A-SLK 173-A W 16.50 FT OF S 158.47 FT OF LT 12 AND E 63.71 FT OF
COT 13/13N)(OR 3639-2659)
Property Tax ID#: 1301-615-0137-000-4 Lot No.
S.ite Plan Name: Block No. 173
Project Name: CSC INVESTMENTS
Setbacks Front Back: Right Side: Left Side:
Ki,
REPLACE 8 WINDOWS X
Additional work tobe nertormed under this permit—rmit–check all t=apply: MZ0
1]HVAC ri Gas Tank FIGas Piping FIShutters Llnj Windows/Doors
Electric �Plumbing E]Sprinklers ❑Generator ❑Roof Roof pitch
Total Sq.Ft of Construction: Scl'Ft*of First Floor:
Cost of Construction:$ 1100.00 Utilitlesf�SeweE Septic Building Height:
CONTRACt
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: 34994Fax: 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 if different E-Mail: SFCONTRACTOR@YAHOO.COM
from the Owner listed above) State or County License: CBC1261632
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMC-117 LIEN'LAW:,INFORMAI"rION
DESIGNER/ENGINEER: _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 1 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 r a attorn y before
commencing work 9f),recording your Notice of Commencement.
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SignaturA of Owne Le ee/Contractor as Agent for Ow ra.:E x•,.� ignaturekif Contractor/License Wolder
STATE OF FLORIDA _ s TATE OF FLORt
COUNTY OF '°^ ° COUNTY OF
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The f rgoing instru ent was acknowledged efore me " -U0. he forgoing instrument was acknowledged before a X�
this�l day of 20 b 2 M_� `7 -°�o
y Z ms is P day of 20 by a aqG X,
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(Name of person acknow edging) gA ame of person acknowledging)
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(Signature of aryPublic-State of Florida / (Signature of No Public-State of lorid )
Personally Known OR PlZkdjdced Identification Personally Known OR Pr ed Identification
Type of Identification Produced 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