HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date: Permit Number:W0 111
Building Permit Application
Planning and Development Services
Building and Code Regulation Division FEB 2 6 2018
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
y PR{ }SIrDrJIVROVMEN'T LOCATttJ ,} a ..
Address: 1717 Primrose Ct, Port St. Lucie, FL 34952
Legal Description: Lake Lucie Estates Plat No. One Lot 136(OR 938-794)
Property Tax ID#: 3426-73-0150-000-1 Lot No.136
Site Plan Name: Block No.
Project Name: Dean Ruscoe
Setbacks Front Back: Right Side: Left Side:
MO,t
DE `A(LECEESCPTION { �1N ? tK x 3 rr zr
L �GI./
f Y)vgc, o"-S
COQ 1 Rte � �1l�FGR!{r{ t71Y'fRE a r yr ;
Additionalwork to be nerrormea under this permit—check a appy:
L
HVAC _I Gas Tank []Gas Piping M
Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 19324.00 Utilities:n Sewer Septic Building Height:
�
CWINO S§-f ��Kp � f CONTE CT R
Name Dean Ruscoe Name: Scott Berman
Address:1717 Primrose Ct Company: Florida Window and Door
City: Port St. Lucie State:FL Address: 7108 Fairway Drive Ste 120
Zip Code: 34952 Fax: City: Palm Beach Gardens State:FL
Phone No.772-708-3216 Zip Code: 33418 Fax: 561-624-8037
E-Mail:ECOMANIAC@BELLSOUTH.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: CGC-1509450
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
r
�SIIP EIVIENT : ' tIUSTFt laNL1ELAU1/ INi���!#ATIO�i ' � >`� X �
um
DESIGNER/ENGINEER: 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: _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 arb,-aoplir_able-Heme-Owners Assoeration-rules,—bylaws-or-arrd covenants trra 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
comm in work ecording your Notice of Commencement.
I
s
Signature of Owner/Lessee/Contra or as Agent for Owner Signature of Cont older
STATE OF A FLORI - STATE OF FLORIDA
�� ���1 /
COUNTY OF • Lu(J I, COUNTY OF ��G/7
The forgoing instrument was acknowledged before me The f rgoing instrument was acknowledged before me
this day of ,�' 20 nby this day of ICe20 LL by
Dean Ruscoe Scott Berman
(Name of person acknowledging) (Name of person acknowledging)
n C pe�__
(Signature of Notary Public-State of Florida) (Signature of Notaryu@lc-State of Florida)
Personally Known OR P duced Identification I / Personally Known V____OR Produced Identification
Type of Identification Produce > - Identification Produced
PpY PVA
RACHAEL ANN MES JCTA iPnc Qr'• 45L-M)NMPACRSLA
Commission No.�� �1�Q�, o` � S`eapo sion No, •• CAi O a
tr
apo Public-State of ,
"sN,o ao, My Comm.Expires Dec oBc MY COMMISSION f#FF897717
11000398-0^b5 FlorttlallotayServtce.com
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS I VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS