HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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
PERMIT APPLICATION FOR: Window/door i-
PROPbSED fMI5,ROVEMENT LOCATION:
Address: 7302 BANYON ST. FORT PIERCE, FL 34951 I
Legal Description: LAKEWOOD PARK- UNIT1 - BILK 9 LOT 15 (MAP 13/14N)(OR 2067 I1018)
Property Tax ID #: 1301-601=0173-000-5 l Lot No. 15
Site Plan Name: Block No. 9.
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Project Name,:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION .OF.WORK:
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REPLACE 14 WINDOWS /WITH EXISTING STORM PANELS
CONSTRIJCTION.INFORMATION
CO'NTRAGTOR:
Additional work to be nertormed under t ispermit—,check,,,[appy:
HVAC IJ Gas Tank E]Gas Piping
Name: MATTHEW MARKS
Shutters
j
✓❑ Windows/Doors
City: FORT PIERCE State:FL
Zip Code: 34951 Fax:
Phone No. 772-332-5022
Address: 91.3 EDWARDS RD.
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-464-7603
Phone No. 772-464-7600
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
_
State or County License,[ 24526
I
Electric ❑ Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S. Ft. of First Floor:
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Cost of Construction: $ 5150.00
Utilities:cnSewer
Septic
Building Height:
,,OW,'NER/LESSEE ry. ',.
CO'NTRAGTOR:
Name RICHARD ADAMS
Name: MATTHEW MARKS
Address:7302 BANYAN ST.
Company: EAST COAST ALUMINUM PRODUCTS
City: FORT PIERCE State:FL
Zip Code: 34951 Fax:
Phone No. 772-332-5022
Address: 91.3 EDWARDS RD.
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-464-7603
Phone No. 772-464-7600
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: ECAPINC@HOTMAIL.COM
State or County License,[ 24526
I
It value of construction is SZ500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: I State:
Zip: Phone!:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:!
Not Applicable
MANGROVE
City:
COUNTER
Zip: Phone:
REVIEW
REVIEW
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 your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF 57. Lue(E
The forgoing instrument was acknowledged before me
this day of .?ZINE 20 (7 by
AlkMEw MAMysc,
(Name of person acknowledging)
(Signature of Notary Public- State of Florida) -
Personally Knowni i ril a� ifirntion
Type of Identification Pro du d ,,eaY P DONALD M. HOLMAN
Commission No. _
A�c 9/32 Yo
Revised 07/15/2014
v4Z.1-1 Ylib jIL14
Signature of Contractor/License H
STATE OF FLORIDA
COUNTYOF S?. L4CIE
The forgoing instrument was acknowledged before me
this tom day of _ 74NIE 20('7 by
I
A14779Ew MAP -k.9
(Name of person acknowledging )
(Signature of Notary Public, i State of Florida )
Notary Public- State o1 Flori a
(Seraq)nmission #E FF 913240 C
My Comm. Expires_ Sep 20, 2019
nally Known `�
of Identification Prod
mission No.
DR Produced Identification
ced
FF41XIVo
Wry
M. HOLMAN
Wry Public - State of FI
Commission # FF 9132
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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