HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
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Date: Permit Number: J4a 1l
RECEIVED AUG 04 2017
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:
PROPOSED I_MPROV,EIVI;EN'T'LOCATIC7N ,�.
Address: 633 BEACH AVE.PORT ST LUCIE,FL 34952
Legal Description: RIVER PARK UNIT 2
Property Tax ID#:3419-510-0005-000-6 Lot No.5
Site Plan Name: Block No.I
Project Name:DONNA MENDELSOHN
Setbacks Front Back: Right Sider Left Side:
DETAILED DESCRIrPTION OF,11110RK x
4
Replace 10 Windows
GONSTRU.CTION ,INFORMATION: .
I!tiona'wor to a er orm�e h un ertis permit—checka appy:
HVAC Gas Tank 0Gas Piping r1_Shutters ElWindows/Doors
E]Electric ❑Plumbing 05prinklers 0 Generator 0 Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 10,000.00 Utilities:12Sewer Oseptic Building Height:
"O11VN,ER/LESSEE: CONTRACTOR::
Name DONNA MENDELSOHN Name:DAN BECKNER
Address: 633 BEACH AVE Company:PARADISE EXTERIORS LLC
City: PORT ST LUCIE State: FL Address:1918 CORPORATE DR
Zip Code: 34952 Fax: City:BOYNTON BEACH State:FL
Phone No, 772-204-1079 Zip Code: 33426 Fax:
E-Mail: Phone No. 561-732-0300
Fill in fee simple Title Holder on next page(if different E-Mail:paradiseexteriorslle(a,gmail.com
from the Owner listed above) State or County License:SCC131150472
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUFPLEMENTALCaNSTREU`CTl0N LIEN. LAW INFORMATION.:
�. ,
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 holderto build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or'and covenantsthat 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 our Notice of Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 51 1 • LLQ C i F COUNTY OF
The fo oing instrument w acknowledged before me The forgoing instrument was acknowledged before me
this 1 ` dayof 20 14by this Ldayof 20_Nby
_964
Nam of person acknowle ' g HOW�LI' {Name of person ac owled g}
MP SSION#FF2 6 9
T ,� �IRFS:S�®°lxr
aff
(SigrraWre of Notary Public- orida} Vypelldentification
e ofr,�,�y Public-State of g o ' }
Personally Known V/ OR Produced Identification y own OR Produced Identification
Type of Identification Produced Pr
"' S HOWELL ;s"*: .9EtdP11FEIr
Commission No. _° 8a SION#M46672 ' Commission No =�' �,vr rnMNIigS1C® if�02B10
�I sn,2o19XpiR�g July 23,2019
OP R,•
(4071393-0-01
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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DATE
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