HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �•�•�� Permit Number: /
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Building Permit Application
Planning and Development Services 2 6 2018
Building and Code Regulation Division FEB
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial ResidentR916 2018
PERMIT APPLICATION FOR: Window/door
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ITT
Address: 7703 Winter Garden Pkwy, Fort Pierce, FL 34951
Legal Description: Lakewood Park-Unit 5-Blk 48 Lot 18(Map 13/11 N)(Or 2489-162)
Property Tax ID#: 1301-605-0218-000-5 Lot No.18
Site Plan Name: Julie Archer Block No. 48
Project Name: Julie Archer
Setbacks Front Back: Right Side: Left Side:
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Additional work toe nertormed under this permit-check all appy:
HVAC Gas Tank Das Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: 1,440 S . Ft. of First Floor:
Cost of Construction:$ 18,416.00 Utilities: Sewer ElSeptic Building Height:
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Name Julie Archer Name: Scott Berman
Address:7703 Winter Garden Pkwy Company: Florida Window and Door
City: Fort Pierce State:FL Address: 7108 Fairway Drive Ste 120
Zip Code: 34951 Fax: City: Palm Beach Gardens State-FL
Phone No.772-643-0241 Zip Code: 33418 Fax: 561-624-8037
E-Mail:julie-bbb@hotmail.com _ 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.
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DESIGNER/ENGINEER: X 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: X 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 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.
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Signa re of Owner/Lessee/Contractor as Agent for Owner Signature of Con a Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF S6r. LL)C-t p— COUNTY OF �R� �c s✓h
The forgoing instr ment was acknowledged before me The forgoing instru ent was acknowledged before me
this day of_ EC�&SG-F_ 20 Mby this Z?day of 20 �by
Julie Archer Scott Berman
(Name of person acknowledging) (Name o rson acknowledging)
ignatu Not ry ub'c-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification X _ Personally Known OR Produced Identification
Type of Identification Produced�IV&0_ L j r_t= ,5C Type of Identification Produced
Myr CHRISTOPHER J.FRYAUFF
Commission No. NWdk"YPUBLIC Commission No. ao`"AY'P`"y CARqg& AMIMERSLA
STATE OF FLORIDAZz.�a MY COMMISSION#FF897717
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Revised 07/15/2014 Expires 7/17/2018 091;398-'0153FlondaNecay33rvice.com
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